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

Pranav Reddy Bommineni, DO

Individual provider Emergency Medicine Physician · NPI 1093455685

Pranav Reddy Bommineni, DO is an Emergency Medicine in Jacksonville, Florida. Graduated from Liberty Univ College of Osteopathic Medicine in 2022, 4 years ago. Practices with Cep America LLC, a 985-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Trained at
Liberty Univ College of Osteopathic Medicine
Licensed in
FL
In the registry since
2022
Specialties on file
2
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

1 Shircliff Way
Jacksonville, FL 32204-4748
Phone: (904) 308-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2001 Kingsley Ave, Orange Park, FL 32073-5148 — (904) 639-2000

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence UO8649 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1093455685
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 31, 2022
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026
Mailing address1601 Cummins Dr Ste D, Modesto, CA 95358-6411

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolLIBERTY UNIV COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2022 (4 years in practice)
Group practice Cep America Llc — 985 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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