MEDICARE: MR. JAMES BRYANT DIVINCENZO DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	P01671	FL

General Provider Information

NPI Number	:	1386610327
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JAMES BRYANT DIVINCENZO DPM

Provider Business Mailing Address
First Line	:	3003 26TH ST W
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34205-3739
Country	:	US
Telephone Number	:	941-753-1234
Fax Number	:	941-755-1332

Provider Business Practice Location Address
First Line	:	3003 26TH ST W
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34205-3739
Country	:	US
Telephone Number	:	941-753-1234
Fax Number	:	941-755-1332

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1770559700 — MR. RAMDIN VISHNU SAMMY DPM
Practice Location Address:

3003 26TH ST W
BRADENTON, FL
34205-3739

Practice Phone: 941-753-1234
Practice Fax: 941-755-1332

1477610400 — SAMMY & DIVINCENZO, PA
Practice Location Address:

3003 26TH ST W
BRADENTON, FL
34205-3739

Practice Phone: 941-753-1234
Practice Fax: 941-755-1332

1457343253 — DR. SARAH SAPUTO MACKIE OD
Practice Location Address:

5106 MANATEE AVE W
BRADENTON, FL
34209-3739

Practice Phone: 941-795-2020
Practice Fax: 941-794-5918

1063589604 — EYE CENTER INC
Practice Location Address:

5106 MANATEE AVE W
BRADENTON, FL
34209-3739

Practice Phone: 941-795-2020
Practice Fax:

1235849035 — DENISE XIOMARA PACHECO CABRERA MSW, ISW,FDC
Practice Location Address:

623 25TH AVE E
BRADENTON, FL
34208-3739

Practice Phone: 813-734-4288
Practice Fax:

1023848181 — CARLOS R CUELLAR BROWN MT-BC
Practice Location Address:

425 30TH AVE W APT C210
BRADENTON, FL
34205-8032

Practice Phone: 917-291-4435
Practice Fax: 941-328-8112

Directions to “ MR. JAMES BRYANT DIVINCENZO DPM” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.