Individual
DR. JEREMY MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5717 21ST AVE WEST, BRADENTON, FL 34209
(941) 792-8383
(941) 792-8484
Mailing address
5717 21ST AVE WEST, BRADENTON, FL 34209
(941) 792-8383
(941) 792-8484
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME83356
FL
207QB0002X
Obesity Medicine (Family Medicine) Physician
ME83356
FL
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary
ME83356
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700871969
NPI
FL
05
—
266997800
—
FL
Enumeration date
09/14/2005
Last updated
11/29/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us