Physician Compare National (NPI:1912958133)

HEALTHCARE PROVIDER: JOSEPH ANTHONY PADRONAGGIO PH.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1912958133
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9032216411
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070518000458
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PADRONAGGIO
	Individual professional last name
Provider First Name	JOSEPH
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1976
	Individual professional's medical school graduation year
Primary Specialty	PSYCHOLOGIST, CLINICAL
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	4301 32ND ST W
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE E7
	Group Practice or individual's line 2 address
City	BRADENTON
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	342052702
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9417567000
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y