Connolly, Brendon R

Connolly, Brendon R is an individual health care provider with primary practice located at 530 5Th St E , Bradenton FL 34208-2002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Connolly, Brendon R can be contacted via phone (941) 757-3521.

Contact Information

Primary practice address
530 5Th St E Bradenton FL 34208-2002
Phone: (941) 757-3521
Fax: (941) 714-0869
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME98137 Florida

Profile Details

NPI number 1144306572
LBN Legal business name Connolly, Brendon R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Jul 24th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144306572 NPPES
Florida Other 96779 BLUE CROSS BLUE SHIELD
Florida MEDICAID 278117400 BLUE CROSS BLUE SHIELD

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