BAYSHORE ANESTHESIA P A
NPI 1659477461
Anesthesiology - Pain Medicine in Niceville, FL

Q: What is Bayshore Anesthesia P A's NPI number?

The NPI number for Bayshore Anesthesia P A is 1659477461. It was assigned to this organization in the NPPES registry on September 16, 2006.

Q: What is Bayshore Anesthesia P A's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Active since September 16, 2006

2190 HIGHWAY 85 N, NICEVILLE, FL 32578(352) 867-8898(352) 732-6282 Get Directions Write a Review

NPPES record last updated: August 9, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Bayshore Anesthesia P A NPPES

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

BAYSHORE ANESTHESIA P A (NPI 1659477461) is a healthcare organization registered as a pain medicine in Niceville, Florida and active in the NPI registry since September 2006. The organization lists Arthur Paul Broaderick, Md/president, as its authorized official.

NPPES Registry Identity

NPI1659477461

Entity TypeOrganization

Primary Taxonomy207LP2900X

Legal Business NameBAYSHORE ANESTHESIA P A

Location Address2190 HIGHWAY 85 NNiceville, FL 32578-1045

Mailing AddressPo Box 7419Orlando, FL 32891-7419 · (352) 867-8898 · Fax (352) 732-6282

Phone(352) 867-8898

Fax(352) 732-6282

Organization SubpartNo

Authorized OfficialArthur Paul BroaderickMd/president · (352) 867-8898

Enumeration DateSeptember 16, 2006

Last NPPES UpdateAugust 9, 2011

✔ NPI 1659477461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207LP2900X

License✔ Licensed in FL · ME69348

Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

2190 HIGHWAY 85 N, Niceville, FL 32578

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Other Identifiers 3

Medicaid379870400FL

Medicare ID-Type Unspecified28253XFL

Other28253FL · Blue Cross Blue Shield

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

Other Providers at the Same Location NPPES 20

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

CHRISTINE D BUCHANAN PT, DPT

Physical Therapist