BRADENTON ENDOCRINOLOGY, PA
NPI 1033460001
Clinic/Center - Medical Specialty in Bradenton, FL

Active since September 30, 2012
1906 59TH ST W STE B, BRADENTON, FL 34209(941) 795-1915(941) 795-2715 Get Directions Write a Review

NPPES record last updated: April 20, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bradenton Endocrinology, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRADENTON ENDOCRINOLOGY, PA (NPI 1033460001) is a healthcare organization registered as a medical specialty in Bradenton, Florida and active in the NPI registry since September 2012. The organization lists Lillibet Mathew Placheril, Owner, as its authorized official.

NPPES Registry Identity

NPI1033460001
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameBRADENTON ENDOCRINOLOGY, PA
Location Address1906 59TH ST W STE BBradenton, FL 34209-4639
Mailing Address1906 59th St W Ste BBradenton, FL 34209-4639 · (941) 795-1915 · Fax (941) 795-2715
Fax(941) 795-2715
Organization SubpartNo
Authorized OfficialLillibet Mathew PlacherilOwner · (941) 795-1915
Enumeration DateSeptember 30, 2012
Last NPPES UpdateApril 20, 2018
✔ NPI 1033460001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in FL · ME63167
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
1906 59TH ST W STE B, Bradenton, FL 34209

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bradenton Endocrinology, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bradenton Endocrinology, PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Endocrinology
NPI 1235174079
1906 59TH ST W STE B
Bradenton, FL 34209
(941) 795-1915
✔ PECOS✔ Accepts Medicare1.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bradenton Endocrinology, PA's NPI number?

The NPI number for Bradenton Endocrinology, PA is 1033460001. It was assigned to this organization in the NPPES registry on September 30, 2012.

Where is Bradenton Endocrinology, PA located?

Bradenton Endocrinology, PA is located at 1906 59th St W Ste B, Bradenton, FL 34209. The listed phone number is (941) 795-1915.

What is Bradenton Endocrinology, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Bradenton Endocrinology, PA enrolled in Medicare?

Yes. Bradenton Endocrinology, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bradenton Endocrinology, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Endocrinology) reassigns their Medicare billing to Bradenton Endocrinology, PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bradenton Endocrinology, PA was last updated on April 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.