DR. GUSTAVO A PRADA M.D.
NPI 1326337759
Family Medicine in Bradenton, FL

Q: What is Gustavo Prada's NPI number?

The NPI number for Gustavo Prada is 1326337759. It was assigned to this individual provider in the NPPES registry on April 6, 2011.

Q: What is Gustavo Prada's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gustavo Prada was last updated on May 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 06, 2011PECOS Enrolled

1505 53RD AVE E, BRADENTON, FL 34203(941) 357-7950(941) 840-1003 Get Directions Write a Review

NPPES record last updated: May 30, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 30, 2023, Aug 17, 2017 (2 updates tracked since 2017).

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About Dr. Gustavo A Prada M.d. NPPES

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

DR. GUSTAVO A PRADA M.D. (NPI 1326337759) is an individual family medicine provider in Bradenton, Florida, licensed in Florida (ME120490) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326337759

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. GUSTAVO A PRADACredential: M.D.

Location Address1505 53RD AVE EBradenton, FL 34203-4249

Mailing Address1505 53rd Ave EBradenton, FL 34203-4249 · (941) 357-7950 · Fax (941) 840-1003

Phone(941) 357-7950

Fax(941) 840-1003

Sole ProprietorNo

Enumeration DateApril 6, 2011

Last NPPES UpdateMay 30, 20232 updates tracked since enumeration

NPPES CertifiedMay 30, 2023

✔ NPI 1326337759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · ME120490

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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Other Identifiers 1

Medicaid013637500FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gustavo A Prada M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Gustavo Prada reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dedicated Senior Medical Center Of Florida, LLC

Same address

Specialist

1505 53RD AVE
Bradenton, FL 34203

Reassigned Medicare billing, Florida enrollment
348 clinicians in this Medicare group

NPI 1811404908 (305) 628-6117

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

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

Internal Medicine