Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780643742 Individual Practitioner Male Practitioner

Dr. Stephen Peter Nicholas , MD

Internal Medicine • Bradenton, FL

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Nicholas, MD is a registered healthcare professional specializing in Internal Medicine in Bradenton, FL. Practice services are available at 1505 53RD AVE E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1505 53rd Ave E

Bradenton, FL 342034249

Telephone 9413577950
Fax 9418401003

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Bradenton, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.0 Yrs
State Avg: 26.5 Yrs
Regional Practice Density
128 Specialists

Practicing in Bradenton, FL (10650 Statewide)

Telehealth Adoption Rate
19.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-02-11
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME140408

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
202193207 (MO)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Dr. Katherine Tardiel , MD

Student in an Organized Health Care Education/Training Program

NPI 1124720792

Doctor of Medicine (M.D.)

Ashley Seal , FNP

Nurse Practitioner - Family

NPI 1265058226

Family Nurse Practitioner

Jay Lao , NP

Nurse Practitioner - Gerontology

NPI 1265920607

Nurse Practitioner

NPI 1275633786

Doctor of Osteopathic Medicine (D.O.)

Dr. Gustavo Prada , MD

Family Medicine

NPI 1326337759

Doctor of Medicine (M.D.)

Dr. Derek Hiltz , DO

Family Medicine

NPI 1366494742

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location February 11, 2021

Registered at 1505 53RD AVE E, BRADENTON, FL 342034249 (Tel: 9413577950)

📍
Updated Business Mailing Address February 11, 2021

Registered at 1505 53RD AVE E, BRADENTON, FL 342034249 (Tel: 9413577950)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2021

Internal Medicine (License #ME140408 in FL)

NPI Profile Active April 28, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location April 28, 2014

Registered at 12 LINDWORTH DR, SAINT LOUIS, MO 63124 (Tel: 3145677026)

📍
Updated Business Mailing Address April 28, 2014

Registered at 12 LINDWORTH DR, SAINT LOUIS, MO 631241475 (Tel: 3145677026)

👤
Provider Name / Credentials Updated April 28, 2014

Recorded as STEPHEN NICHOLAS, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 28, 2014

Internal Medicine (License #36303 in MO)

🟢
Initial NPI Registration & Enumeration March 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780643742
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 20, 2006
Last Update: February 11, 2021
Sole Proprietor: No

Mailing Address

1505 53rd Ave E

Bradenton, FL 342034249

Phone: 9413577950

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.