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.

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 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.Information from the official NPPES registry record, last updated March 9, 2010.

NPPES Registry Identity

NPI1164460143

Entity TypeOrganization

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. How NPI validation works

★ Primary Specialty

Obstetrics & Gynecology

Taxonomy 207V00000X · Allopathic & Osteopathic Physicians

✔ Licensed in FL · ME89915

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated… Show more

5323 4TH AVENUE CIR E, Bradenton, FL 34208

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Also on File with NPPES

Group Practice1

This 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 Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 10D1025852
Facility Type: Physician Office
Certificate Effective Date: October 18, 2024
Certificate Expiration Date: October 17, 2026
Laboratory Director: DR. AARON M. SUDBURY
Certificate Type: Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description: This CLIA certificate is issued to Premier Obgyn Associates Pllc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.