Healthcare Provider Details
I. General information
NPI: 1558288860
Provider Name (Legal Business Name): MCR HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6015 POINTE WEST BLVD
BRADENTON FL
34209-5525
US
IV. Provider business mailing address
6015 POINTE WEST BLVD
BRADENTON FL
34209-5525
US
V. Phone/Fax
- Phone: 941-304-3971
- Fax: 941-254-7283
- Phone: 941-304-3971
- Fax: 941-254-7283
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213E00000X |
| Taxonomy | Podiatrist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 213EP0504X |
| Taxonomy | Public Medicine Podiatrist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 213ES0000X |
| Taxonomy | Sports Medicine Podiatrist |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 213ES0103X |
| Taxonomy | Foot & Ankle Surgery Podiatrist |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QP1100X |
| Taxonomy | Podiatric Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MELVIN
BERNARD
PRICE
Title or Position: PRESIDENT AND CEO
Credential:
Phone: 941-779-4000