MR. DOMINIC LOUIS SORRENTINO JR. PA-C
NPI 1750416582
Physician Assistant - Medical in Bradenton, FL
About Mr. Dominic Louis Sorrentino Jr. Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. DOMINIC LOUIS SORRENTINO JR. PA-C (NPI 1750416582) is an individual medical provider in Bradenton, Florida, licensed in Florida (PA9101611) and active in the NPI registry since February 2007. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mr. Dominic Louis Sorrentino Jr. Pa-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2026 through April 1, 2028.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BRADENTON, FL 34202
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 Dominic Sorrentino's NPI number?
The NPI number for Dominic Sorrentino is 1750416582. It was assigned to this individual provider in the NPPES registry on February 22, 2007.
Where is Dominic Sorrentino located?
Dominic Sorrentino practices at 8648 E State Road 70, Bradenton, FL 34202. The listed phone number is (813) 732-1209.
What is Dominic Sorrentino's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Dominic Sorrentino enrolled in Medicare?
No. Dominic Sorrentino has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Dominic Sorrentino was last updated on October 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Mr. Dominic Louis Sorrentino Jr., PA-C · NPI 1750416582
Medical physician in Bradenton, Florida. Individual provider, active in the CMS NPPES registry since February 22, 2007.
## Identity
- **NPI:** 1750416582 (Entity type: Individual)
- **Enumerated:** February 22, 2007
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA9101611 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 8648 E STATE ROAD 70, Bradenton, FL 34202-3785
- **Phone:** (813) 732-1209
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through April 1, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** October 22, 2008
---
Source: [NPI Profile](https://npiprofile.com/npi/1750416582) · Data from the CMS NPPES public registry.