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: August 16, 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

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.

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
206 2ND ST E
BRADENTON, FL 34208
Student in an Organized Health Care Education/Training Program
206 2ND ST E
BRADENTON, FL 34208
Physician Assistant
206 2ND ST E
BRADENTON, FL 34208
Pathology (Anatomic Pathology & Clinical Pathology)
206 2ND ST E
BRADENTON, FL 34208
Nurse Practitioner (Family)
206 2ND ST E
BRADENTON, FL 34208
Student in an Organized Health Care Education/Training Program
206 2ND ST E
BRADENTON, FL 34208
Emergency Medicine
206 2ND ST E
BRADENTON, FL 34208
Family Medicine
206 2ND ST E
BRADENTON, FL 34208

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.

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 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.