BENEDICTA OLAMIDE UDEAGBALA D.O.
NPI 1275633786
Family Medicine in Bradenton, FL

Q: What is Benedicta Udeagbala's NPI number?

The NPI number for Benedicta Udeagbala is 1275633786. It was assigned to this individual provider in the NPPES registry on September 24, 2006.

Q: What is Benedicta Udeagbala's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since September 24, 2006PECOS Enrolled

1505 53RD AVE E, BRADENTON, FL 34203(941) 357-7950 Get Directions Write a Review

NPPES record last updated: May 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 17, 2021, Dec 15, 2016 (2 updates tracked since 2016).

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About Benedicta Olamide Udeagbala D.o. NPPES

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

BENEDICTA OLAMIDE UDEAGBALA D.O. (NPI 1275633786) is an individual family medicine provider in Bradenton, Florida, licensed in Florida (OS17771) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lima.

NPPES Registry Identity

NPI1275633786

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameBENEDICTA OLAMIDE UDEAGBALACredential: D.O.

Location Address1505 53RD AVE EBradenton, FL 34203-4249

Mailing Address1395 Nw 167th StMiami Gardens, FL 33169-5710 · (941) 357-7950

Phone(941) 357-7950

Sole ProprietorNo

Enumeration DateSeptember 24, 2006

Last NPPES UpdateMay 17, 20212 updates tracked since enumeration

NPPES CertifiedMay 17, 2021

✔ NPI 1275633786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in FL · OS17771✔ Licensed in OH · 34006079

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1505 53RD AVE E, Bradenton, FL 34203

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Secondary Practice Location 1

Location 1730 W Market StLima, OH 45801-4602 · Phone (419) 226-4310 · Fax (419) 226-4315

Other Identifiers 1

Medicaid0241812OH

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Benedicta Olamide Udeagbala D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

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

KATHERINE TARDIEL MD

Student in an Organized Health Care Education/Training Program