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BRACCIANO DERMATOLOGY PLC
NPI 1053362764
Dermatology - MOHS-Micrographic Surgery in University Park, FL

Active since May 15, 2006CLIA 10D1084862 · Certificate of Compliance
8430 COOPER CREEK BLVD, SUITE 102, UNIVERSITY PARK, FL 34201(941) 360-2255(941) 487-1777 Get Directions Write a Review

NPPES record last updated: October 19, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bracciano Dermatology Plc NPPES

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

BRACCIANO DERMATOLOGY PLC (NPI 1053362764) is a healthcare organization registered as a mohs-micrographic surgery in University Park, Florida and active in the NPI registry since May 2006. The organization holds a CLIA Certificate of Compliance certificate valid through September 9, 2026 and lists David Michael Bracciano, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1053362764
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameBRACCIANO DERMATOLOGY PLC
Location Address8430 COOPER CREEK BLVD, SUITE 102University Park, FL 34201
Mailing Address6539 Flycatcher LnBradenton, FL 34202-8269 · (941) 360-2255
Phone(941) 360-2255
Fax(941) 487-1777
Organization SubpartNo
Authorized OfficialDavid Michael BraccianoPhysician Owner · (941) 360-2255
Enumeration DateMay 15, 2006
Last NPPES UpdateOctober 19, 2011
✔ NPI 1053362764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License✔ Licensed in FL · OS7345
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
8430 COOPER CREEK BLVD, University Park, FL 34201
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Other Identifiers 1

Medicare ID-Type UnspecifiedK9833FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 10D1084862

Bracciano Dermatology Plc · University Park, FL
Active · expires Sep 9, 2026
CLIA Number10D1084862
Laboratory TypePhysician Office
Certificate Effective DateSeptember 10, 2024
Certificate Expiration DateSeptember 9, 2026
Laboratory DirectorDr. David M. Bracciano
Laboratory Phone(941) 360-2255
Laboratory LocationBracciano Dermatology Plc8035 Cooper Creek Blvd Ste 101, University Park, FL 34201
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID MICHAEL BRACCIANO SR. D.O.
Dermatology (MOHS-Micrographic Surgery)
8430 COOPER CREEK BLVD, SUITE 102
UNIVERSITY PARK, FL 34201
Manatee County (941) 360-2255
BRUCE J LEVINE, DPM PA
Podiatrist
8430 COOPER CREEK BLVD, SUITE 101
UNIVERSITY PARK, FL 34201
Manatee County (941) 360-9300
GENEVIEVE M MELBERTH PA-C
Physician Assistant
8430 COOPER CREEK BLVD, SUITE 102
UNIVERSITY PARK, FL 34201
Manatee County (941) 360-2255

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 Bracciano Dermatology Plc's NPI number?

The NPI number for Bracciano Dermatology Plc is 1053362764. It was assigned to this organization in the NPPES registry on May 15, 2006.

Where is Bracciano Dermatology Plc located?

Bracciano Dermatology Plc is located at 8430 Cooper Creek Blvd Suite 102, University Park, FL 34201. The listed phone number is (941) 360-2255.

What is Bracciano Dermatology Plc's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Does Bracciano Dermatology Plc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D1084862) is associated with this NPI, valid through September 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bracciano Dermatology Plc was last updated on October 19, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.