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SEAN NONNEMAKER EXT DO PA
NPI 1295369924
Internal Medicine in Bradenton, FL

Active since March 03, 2020
250 2ND ST E STE 3B, BRADENTON, FL 34208(941) 746-4151(941) 746-4345 Get Directions Write a Review

NPPES record last updated: March 3, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sean Nonnemaker Ext Do Pa NPPES

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

SEAN NONNEMAKER EXT DO PA (NPI 1295369924) is a healthcare organization registered as an internal medicine in Bradenton, Florida and active in the NPI registry since March 2020. The organization lists Dawn Bird, Cred Manager, as its authorized official.

NPPES Registry Identity

NPI1295369924
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSEAN NONNEMAKER EXT DO PA
Location Address250 2ND ST E STE 3BBradenton, FL 34208-1027
Mailing Address250 2nd St E Ste 3bBradenton, FL 34208-1027 · (941) 746-4151 · Fax (941) 746-4345
Phone(941) 746-4151
Fax(941) 746-4345
Organization SubpartNo
Authorized OfficialDawn BirdCred Manager · (813) 728-5460
Enumeration DateMarch 3, 2020
NPPES CertifiedMarch 3, 2020
✔ NPI 1295369924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
250 2ND ST E STE 3B, 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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sean Nonnemaker Ext Do Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sean Nonnemaker Ext Do PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sean Nonnemaker, D.O
Internal Medicine
NPI 1245573609
250 2ND ST E STE 3B
Bradenton, FL 34208
(941) 746-4151
✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Sean Nonnemaker Ext Do PA's NPI number?

The NPI number for Sean Nonnemaker Ext Do PA is 1295369924. It was assigned to this organization in the NPPES registry on March 3, 2020.

Where is Sean Nonnemaker Ext Do PA located?

Sean Nonnemaker Ext Do PA is located at 250 2nd St E Ste 3B, Bradenton, FL 34208. The listed phone number is (941) 746-4151.

What is Sean Nonnemaker Ext Do PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sean Nonnemaker Ext Do PA enrolled in Medicare?

Yes. Sean Nonnemaker Ext Do PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sean Nonnemaker Ext Do PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Sean Nonnemaker Ext Do PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sean Nonnemaker Ext Do PA was last updated on March 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.