NPI 1699008409 · live from the CMS NPI Registry
Lisa M Avery, M.D.
Psychiatry & Neurology, Neurology in Bradenton, FL. National Provider Identifier 1699008409, active.
NPI record
| NPI | 1699008409 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 3800 26th St W, Bradenton, FL 34205 |
| Practice phone | 941-752-1700 |
| Enumerated | September 11, 2009 |
| Last updated | October 13, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Pain Medicine | 2084P2900X | ME94226 (FL) |
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 053486 (GA) |
| Psychiatry & Neurology, Addiction Medicine | 2084A0401X | ME94226 (FL) |
| Psychiatry & Neurology, Neurology | 2084N0400X | ME 94226 (FL) |
| 2084N0600X | ME 94226 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.