BRADEN VANDER WALL M.D.
NPI 1770875114
Internal Medicine in Sarasota, FL

Q: What is Braden Vander Wall's NPI number?

The NPI number for Braden Vander Wall is 1770875114. It was assigned to this individual provider in the NPPES registry on May 4, 2011.

Q: What is Braden Vander Wall's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since May 04, 2011PECOS Enrolled

5955 RAND BLVD, SARASOTA, FL 34238(941) 552-7508(941) 552-7605 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 24, 2026, May 9, 2019 (2 updates tracked since 2019).

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About Braden Vander Wall M.d. NPPES

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

BRADEN VANDER WALL M.D. (NPI 1770875114) is an individual internal medicine provider in Sarasota, Florida, licensed in Florida (ME121191) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770875114

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameBRADEN VANDER WALLCredential: M.D.

Location Address5955 RAND BLVDSarasota, FL 34238-5160

Mailing Address5955 Rand BlvdSarasota, FL 34238-5160 · (941) 552-7508 · Fax (941) 552-7605

Phone(941) 552-7508

Fax(941) 552-7605

Sole ProprietorNo

Enumeration DateMay 4, 2011

Last NPPES UpdateApril 24, 20262 updates tracked since enumeration

NPPES CertifiedApril 24, 2026

✔ NPI 1770875114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in FL · ME121191

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

5955 RAND BLVD, Sarasota, FL 34238

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Other Identifiers 1

Medicaid013600900FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Braden Vander Wall 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34238 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

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 20

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

TIDEWELL HOME HEALTH, LLC

Technician (Attendant Care Provider)