Individual provider · Type 1 NPI

Pranav Reddy Bommineni, DO

Emergency Medicine Physician · Jacksonville, FL

NPI number 1093455685 Active

Practice location

1 Shircliff Way
Jacksonville, FL 32204-4748

Call (904) 308-7000 Map

Mailing address

1601 Cummins Dr Ste D
Modesto, CA 95358-6411

Other practice locations

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

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician Primary 207P00000XUO8649 (FL)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

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About NPI 1093455685

Pranav Reddy Bommineni, DO's National Provider Identifier is 1093455685, issued on Mar 31, 2022. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Jacksonville, FL. The record was last updated on Jun 24, 2026.