BRADENTON VA CBOC
NPI 1073560603
Clinic/Center - VA in Bradenton, FL

Q: What is Bay Pines Vamc's NPI number?

The NPI number for Bay Pines Vamc is 1073560603. It was assigned to this organization in the NPPES registry on May 28, 2006. The provider is also known as Bradenton VA Cboc.

Q: What is Bay Pines Vamc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in VA, with taxonomy code 261QV0200X.

Q: When was this NPI record last updated?

The NPPES record for Bay Pines Vamc was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 28, 2006

5520 E STATE ROAD 64, SUITE 101, BRADENTON, FL 34208(866) 793-4591 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 28, 2023, Feb 16, 2017 (2 updates tracked since 2017).

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About Bradenton Va Cboc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRADENTON VA CBOC (NPI 1073560603) is a healthcare organization registered as a va in Bradenton, Florida and active in the NPI registry since May 2006. The organization lists Erin Potter, Npi Team Member, as its authorized official.

NPPES Registry Identity

NPI1073560603

Entity TypeOrganization

Primary Taxonomy261QV0200X

Legal Business NameBAY PINES VAMC

Location Address5520 E STATE ROAD 64, SUITE 101Bradenton, FL 34208-5526

Mailing AddressPo Box 94465Cleveland, OH 44101-4465 · (866) 793-4591

Phone(866) 793-4591

Organization SubpartNo

Authorized OfficialErin PotterNpi Team Member · (202) 382-2579

Enumeration DateMay 28, 2006

Last NPPES UpdateMarch 28, 20232 updates tracked since enumeration

NPPES CertifiedMarch 28, 2023

✔ NPI 1073560603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities

Taxonomy Code261QV0200X

5520 E STATE ROAD 64, Bradenton, FL 34208

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Other Names 1

Other NameBradenton Va Cboc

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CATINA EVANS

Dental Hygienist

5520 E STATE ROAD 64
BRADENTON, FL 34208

Manatee County (941) 721-0649

DR. SHEYLA NATACHA HOPKINS M.D.

Internal Medicine

5520 E STATE ROAD 64
BRADENTON, FL 34208

Manatee County (941) 721-0649

JESSICA ANN BLATZER PHARMD

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

5520 E STATE ROAD 64
BRADENTON, FL 34208

Manatee County (941) 721-0649

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bay Pines Vamc's NPI number?

The NPI number for Bay Pines Vamc is 1073560603. It was assigned to this organization in the NPPES registry on May 28, 2006. The provider is also known as Bradenton VA Cboc.

Where is Bay Pines Vamc located?

Bay Pines Vamc is located at 5520 E State Road 64 Suite 101, Bradenton, FL 34208. The listed phone number is (866) 793-4591.

What is Bay Pines Vamc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in VA, with taxonomy code 261QV0200X.

When was this NPI record last updated?

The NPPES record for Bay Pines Vamc was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.