PREMIER OBGYN ASSOCIATES PLLC
NPI 1164460143
Obstetrics & Gynecology in Bradenton, FL

Q: What is the provider's specialty?

The provider's specialty is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since June 03, 2006CLIA 10D1025852 · Microscopy

5323 4TH AVENUE CIR E, BRADENTON, FL 34208(941) 745-5115(941) 567-1000 Get Directions Write a Review

NPPES record last updated: March 9, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Premier Obgyn Associates Pllc NPPES

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

PREMIER OBGYN ASSOCIATES PLLC (NPI 1164460143) is a healthcare organization registered as an obstetrics & gynecology in Bradenton, Florida and active in the NPI registry since June 2006. The organization holds a CLIA Microscopy certificate valid through October 17, 2026 and lists Aaron Matthew Sudbury, Managing Director, as its authorized official.

NPPES Registry Identity

NPI1164460143

Entity TypeOrganization

Primary Taxonomy207V00000X

Legal Business NamePREMIER OBGYN ASSOCIATES PLLC

Location Address5323 4TH AVENUE CIR EBradenton, FL 34208-5623

Mailing Address1767 Lakewood Ranch Blvd # 233Bradenton, FL 34211-4906 · (941) 745-5115 · Fax (941) 567-1000

Phone(941) 745-5115

Fax(941) 567-1000

Organization SubpartNo

Authorized OfficialAaron Matthew SudburyManaging Director · (941) 745-5115

Enumeration DateJune 3, 2006

Last NPPES UpdateMarch 9, 2010

✔ NPI 1164460143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in FL · ME89915

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

5323 4TH AVENUE CIR E, Bradenton, FL 34208

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 10D1025852

Premier Obgyn LLC · Bradenton, FL

Active · expires Oct 17, 2026

CLIA Number10D1025852

Laboratory TypePhysician Office

Certificate Effective DateOctober 18, 2024

Certificate Expiration DateOctober 17, 2026

Laboratory DirectorDr. Aaron M. Sudbury

Laboratory Phone(561) 300-2410

Laboratory LocationPremier Obgyn LLC5323 4th Ave Cir E, Bradenton, FL 34208

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.