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TWO RIVERS MEDICAL
NPI 1639062946
General Practice in Bradenton, FL

Active since June 03, 2025
2812 MANATEE AVE E, BRADENTON, FL 34208(941) 226-0206(941) 900-1043 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Two Rivers Medical NPPES

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

TWO RIVERS MEDICAL (NPI 1639062946) is a healthcare organization registered as a general practice in Bradenton, Florida and active in the NPI registry since June 2025. The organization lists Jaya Krishna Kolla, Owner, as its authorized official.

NPPES Registry Identity

NPI1639062946
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameTWO RIVERS MEDICAL
Location Address2812 MANATEE AVE EBradenton, FL 34208-1828
Mailing Address2810 Manatee Ave E, 2810 Manatee Ave EBradenton, FL 34208-1828 · (941) 226-0206 · Fax (941) 900-1043
Phone(941) 226-0206
Fax(941) 900-1043
Organization SubpartYesParent: Two Rivers Urgent Care And Wellness
Authorized OfficialJaya Krishna KollaOwner · (941) 226-0206
Enumeration DateJune 3, 2025
Last NPPES UpdateJuly 22, 2025
NPPES CertifiedJuly 11, 2025
✔ NPI 1639062946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2812 MANATEE AVE E, Bradenton, FL 34208
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Two Rivers Medical's NPI number?

The NPI number for Two Rivers Medical is 1639062946. It was assigned to this organization in the NPPES registry on June 3, 2025.

Where is Two Rivers Medical located?

Two Rivers Medical is located at 2812 Manatee Ave E, Bradenton, FL 34208. The listed phone number is (941) 226-0206.

What is Two Rivers Medical's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Two Rivers Medical was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.