MANATEE PHYSICIAN ALLIANCE, LLC
NPI 1588970446
Family Medicine in Bradenton, FL

Active since August 28, 2010CLIA 10D2102478 · Waiver
206 2ND ST E, BRADENTON, FL 34208(941) 745-7207 Get Directions Write a Review

NPPES record last updated: June 26, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 10, 2018, Apr 27, 2018 (2 updates tracked since 2018).

About Manatee Physician Alliance, Llc NPPES

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

MANATEE PHYSICIAN ALLIANCE, LLC (NPI 1588970446) is a healthcare organization registered as a family medicine in Bradenton, Florida and active in the NPI registry since August 2010. The organization holds a CLIA Waiver certificate valid through September 23, 2027 and lists Todd Evans, Vp, as its authorized official.

NPPES Registry Identity

NPI1588970446
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMANATEE PHYSICIAN ALLIANCE, LLC
Location Address206 2ND ST EBradenton, FL 34208-1042
Mailing Address367 S Gulph RdKing Of Prussia, PA 19406-3121
Organization SubpartNo
Authorized OfficialTodd EvansVp · (610) 768-3300
Enumeration DateAugust 28, 2010
Last NPPES UpdateJune 26, 20192 updates tracked since enumeration
✔ NPI 1588970446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
Also ListedDietitian, RegisteredTaxonomy 133V00000X
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedInternal MedicineTaxonomy 207R00000X · License ME87766 (FL)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedSurgeryTaxonomy 208600000X
206 2ND ST E, Bradenton, FL 34208

Other Identifiers 4

Medicaid002733000FL
Other7971452FL · Cigna
Other0016ZFL · Bcbs
OtherDQ9845FL · Medicare Rr

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Manatee Physician Alliance, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

19

Medicare enrollment records show 19 clinicians reassign Medicare billing to Manatee Physician Alliance, LLC, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 6

Family Practice11
Nurse Practitioner4
Certified Nurse Midwife (CNM)1
General Surgery1
Hospitalist1
Internal Medicine1

Clinicians, nearest first (19)

Family Practice
NPI 1487744934
1720 MANATEE AVE E
Bradenton, FL 34208
(941) 216-2878
✔ PECOS✔ Accepts Medicare1.1 mi
Family Practice
NPI 1902193782
3007 MANATEE AVE W
Bradenton, FL 34205
(941) 748-8069
✔ PECOS✔ Accepts Medicare1.9 mi
Family Practice
NPI 1154513364
4647 MANATEE AVE W
Bradenton, FL 34209
(941) 745-5999
✔ PECOS✔ Accepts Medicare2.9 mi
Family Practice
NPI 1790751485
5225 MANATEE AVE W
Bradenton, FL 34209
(941) 708-8081
✔ PECOS✔ Accepts Medicare3.2 mi
Family Practice
NPI 1598185936
5225 MANATEE AVE W
Bradenton, FL 34209
(941) 708-8081
✔ PECOS✔ Accepts Medicare3.2 mi
Nurse Practitioner
NPI 1962634980
8342 US HIGHWAY 301 N
Parrish, FL 34219
(941) 729-4400
✔ PECOS✔ Accepts Medicare5.9 mi
Hospitalist
NPI 1063033447
8130 LAKEWOOD MAIN ST STE 103
Lakewood Ranch, FL 34202
(941) 499-2700
✔ PECOS10 mi
Family Practice
NPI 1043763865
8340 LAKEWOOD RANCH BLVD SUITE 210
Bradenton, FL 34202
(941) 782-2800
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1861907313
8340 LAKEWOOD RANCH BLVD SUITE 210
Bradenton, FL 34202
(941) 782-2800
✔ PECOS11 mi
Family Practice
NPI 1760821227
8340 LAKEWOOD RANCH BLVD STE 210
Lakewood Ranch, FL 34202
(941) 782-2800
✔ PECOS✔ Accepts Medicare11 mi
Family Practice
NPI 1083236038
14616 STATE ROAD 70 E
Lakewood Ranch, FL 34202
(941) 909-7755
✔ PECOS✔ Accepts Medicare11 mi
Family Practice
NPI 1427799055
6600 UNIVERSITY PKWY STE 201
Sarasota, FL 34240
(941) 782-9456
✔ PECOS✔ Accepts Medicare11 mi
Family Practice
NPI 1861019010
6979 PROFESSIONAL PKWY
Lakewood Ranch, FL 34240
(941) 418-0458
✔ PECOS11 mi
Certified Nurse Midwife (CNM)
NPI 1760846778
2439 BEE RIDGE RD
Sarasota, FL 34239
(941) 343-0609
✔ PECOS14 mi
Nurse Practitioner
NPI 1124162524
3175 CITRUS TOWER BLVD STE B
Clermont, FL 34711
(352) 404-6900
✔ PECOS✔ Accepts Medicare87 mi
General Surgery
NPI 1689038168
971 LAKELAND DR STE 1460
Jackson, MS 39216
(601) 982-3202
✔ PECOS✔ Accepts Medicare565 mi
Internal Medicine
NPI 1376658500
3900 STONERIDGE LN STE B
Dublin, OH 43017
(614) 685-1985
✔ PECOS✔ Accepts Medicare869 mi
Nurse Practitioner
NPI 1457960338
3000 SUMMER ST
Stamford, CT 06905
(203) 969-2000
✔ PECOS1,067 mi
Family Practice
NPI 1255864906
6900 N PECOS RD
North Las Vegas, NV 89086
(702) 791-9000
✔ PECOS1,995 mi

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

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 Waiver 10D2102478

Manatee Physician Alliance Dba Lakewood Ranch Medical Group Rye Road · Bradenton, FL
Active · expires Sep 23, 2027
CLIA Number10D2102478
Laboratory TypePhysician Office
Certificate Effective DateSeptember 24, 2025
Certificate Expiration DateSeptember 23, 2027
Laboratory DirectorMichael Austen
Laboratory Phone(941) 216-3939
Laboratory LocationManatee Physician Alliance Dba Lakewood Ranch Medical Group Rye Road1854 Rye Rd, Bradenton, FL 34212
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Manatee Physician Alliance, LLC's NPI number?

The NPI number for Manatee Physician Alliance, LLC is 1588970446. It was assigned to this organization in the NPPES registry on August 28, 2010.

Where is Manatee Physician Alliance, LLC located?

Manatee Physician Alliance, LLC is located at 206 2nd St E, Bradenton, FL 34208. The listed phone number is (941) 745-7207.

What is Manatee Physician Alliance, LLC's specialty?

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

Is Manatee Physician Alliance, LLC enrolled in Medicare?

Yes. Manatee Physician Alliance, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Manatee Physician Alliance, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 6 Medicare specialties reassign their Medicare billing to Manatee Physician Alliance, LLC. 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. The largest specialties are Family Practice (11), Nurse Practitioner (4) and Certified Nurse Midwife (CNM) (1). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Manatee Physician Alliance, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2102478) is associated with this NPI, valid through September 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Manatee Physician Alliance, LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Manatee Physician Alliance, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Manatee Physician Alliance, LLC was last updated on June 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.