Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Joseph Weatherly, DO

Individual provider Family Medicine Physician · NPI 1417392697

Dr. Joseph Weatherly, DO is a Family Practice in Bradenton, Florida. Qualified in 2012, 14 years ago. Practices with Utah Regional Hospitalists LLC, a 121-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
14
Licensed in
FL
In the registry since
2013
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

5860 Ranch Lake Blvd Ste 200
Bradenton, FL 34202-3708
Phone: (941) 388-8997
Fax: (941) 306-5876
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS12554 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence UO3136 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1417392697
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 1, 2013
Last updated in NPPESSeptember 9, 2015
Mailing address5860 Ranch Lake Blvd, Suite 200, Bradenton, FL 34202-3708

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Utah Regional Hospitalists Llc — 121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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