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Deactivated NPI 1134196629 Deactivated / Inactive NPI Male Practitioner

Dr. George Jackson Van Buren , MD

Pediatrics • Bradenton, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. George Van Buren has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 02, 2006
NPI Deactivation Date November 17, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. George Van Buren, MD was a registered Pediatrics practicing in Bradenton, FL. Throughout an active medical career spanning 16 years, Dr. Van Buren provided care at the practice location at 712 39TH ST W until profile deactivation on 2022-11-17.

Historical Medicare Part B clinical services included outpatient office visit, detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza, detection test by immunoassay technique for severe acute respiratory syndrome coronavirus. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

712 39th St W

Bradenton, FL 342052454

Telephone 9417087669
Fax 9417088893
Associated Practice Facility / Clinic
🏢 Mcr Health, Inc. Facility NPI 1871523795

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Bradenton, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
37 Specialists

Practicing in Bradenton, FL (4160 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
49.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
56 43 $44.00 $22.33
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza
32 23 $147.00 $73.49
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
21 19 $90.00 $45.23

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL ME0053593

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

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

10 Associated Practitioners
Regina Schau , LCSW

Social Worker - Clinical

NPI 1023385549

Licensed Clinical Social Worker

NPI 1235198540

Doctor of Podiatric Medicine

Dr. Angelina Deak , DO

Family Medicine

NPI 1265744973

Doctor of Osteopathic Medicine (D.O.)

Dr. Dumitru-Dan Teodorescu , MD

Obstetrics & Gynecology

NPI 1437127768

Doctor of Medicine (M.D.)

Dr. William Colgate , MD

Emergency Medicine

NPI 1679557854

Doctor of Medicine (M.D.)

Beverly Scruggs , ARNP

Nurse Practitioner - Family

NPI 1699048157

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

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

13 Historical Events
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NPI Profile Deactivated November 17, 2022

Record deactivated on November 17, 2022

NPI Profile Active March 24, 2017

NPI status registered as active in NPPES database

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Updated Practice Location March 24, 2017

Registered at 712 39TH ST W, BRADENTON, FL 342052454 (Tel: 9417484602)

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Updated Business Mailing Address March 24, 2017

Registered at 700 8TH AVE W, SUITE 101, PALMETTO, FL 342214737 (Tel: 9417764008)

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Provider Name / Credentials Updated March 24, 2017

Recorded as GEORGE VAN BUREN, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2017

Pediatrics (License #ME0053593 in FL)

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Updated Business Mailing Address January 31, 2017

Registered at 700 8TH AVE W, SUITE 101, PALMETTO, FL 342214737 (Tel: 9417764000)

NPI Profile Active January 22, 2013

NPI status registered as active in NPPES database

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Updated Practice Location January 22, 2013

Registered at 712 39TH ST W, BRADENTON, FL 342052454 (Tel: 9417087669)

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Updated Business Mailing Address January 22, 2013

Registered at PO BOX 499, PARRISH, FL 342190499 (Tel: 9417087669)

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Provider Name / Credentials Updated January 22, 2013

Recorded as GEORGE VAN BUREN, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2013

Pediatrics (License #ME0053593 in FL)

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Initial NPI Registration & Enumeration March 02, 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: 1134196629
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 02, 2006
Last Update: January 22, 2013
Deactivation Date: November 17, 2022

Mailing Address

Po Box 499

Parrish, FL 342190499

Phone: 9417087669

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.