DEDICATED SENIOR MEDICAL CENTER BRADENTON
NPI 1811404908
Specialist in Bradenton, FL

Active since January 10, 2018CLIA 10D2146434 · Waiver
1505 53RD AVE, BRADENTON, FL 34203(305) 628-6117 Get Directions Write a Review

NPPES record last updated: January 10, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dedicated Senior Medical Center Bradenton NPPES

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

DEDICATED SENIOR MEDICAL CENTER BRADENTON (NPI 1811404908) is a healthcare organization registered as a specialist in Bradenton, Florida and active in the NPI registry since January 2018. The organization holds a CLIA Waiver certificate valid through March 28, 2028 and lists Raymond Jimenez, Director Of Client Services, as its authorized official.

NPPES Registry Identity

NPI1811404908
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDEDICATED SENIOR MEDICAL CENTER OF FLORIDA, LLC
Location Address1505 53RD AVEBradenton, FL 34203
Mailing Address1395 Nw 167th StreetMiami Gardens, FL 33169 · (305) 628-6117
Organization SubpartYes
Authorized OfficialRaymond JimenezDirector Of Client Services · (305) 628-6117
Enumeration DateJanuary 10, 2018
✔ NPI 1811404908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedNon-Pharmacy Dispensing SiteTaxonomy 332900000X
1505 53RD AVE, Bradenton, FL 34203

Other Names 1

Other NameDedicated Senior Medical Center Bradenton

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)

Dedicated Senior Medical Center Bradenton is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

343

Medicare enrollment records show 343 clinicians reassign Medicare billing to Dedicated Senior Medical Center Bradenton, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 14 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Family Practice129
Internal Medicine120
Nurse Practitioner66
Podiatry11
Cardiovascular Disease (Cardiology)9
General Practice4
Geriatric Medicine1
Hospice/Palliative Care1
2 other specialties2

Nearest to this location (20)

See all 343
Internal Medicine
NPI 1467189696
1505 53RD AVE E
Bradenton, FL 34203
(941) 357-7950
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1659724573
1505 53RD AVE E
Bradenton, FL 34203
(305) 628-6117
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1265920607
1505 53RD AVE E
Bradenton, FL 34203
(941) 357-7950
✔ PECOSSame address
Internal Medicine
NPI 1780643742
1505 53RD AVE E
Bradenton, FL 34203
(941) 357-7950
✔ PECOSSame address
Internal Medicine
NPI 1760943179
1505 53RD AVE E
Bradenton, FL 34203
(941) 357-7950
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1265058226
1505 53RD AVE E
Bradenton, FL 34203
(941) 357-7950
✔ PECOSSame address
Podiatry
NPI 1740282078
1505 53RD AVE E
Bradenton, FL 34203
(941) 357-7950
✔ PECOSSame address
Family Practice
NPI 1326337759
1505 53RD AVE E
Bradenton, FL 34203
(941) 357-7950
✔ PECOSSame address
Family Practice
NPI 1275633786
1505 53RD AVE E
Bradenton, FL 34203
(941) 357-7950
✔ PECOSSame address
Nurse Practitioner
NPI 1992803472
1505 53RD AVE E
Bradenton, FL 34203
(941) 357-7950
✔ PECOSSame address
Family Practice
NPI 1366494742
1505 53RD AVE E
Bradenton, FL 34203
(941) 357-7950
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1720430788
8131 LAKEWOOD MAIN ST STE 205
Lakewood Ranch, FL 34202
(941) 359-9546
✔ PECOS✔ Accepts Medicare7.8 mi
Family Practice
NPI 1669902326
5250 17TH ST STE 109
Sarasota, FL 34235
(727) 753-8185
✔ PECOS✔ Accepts Medicare8.4 mi
Internal Medicine
NPI 1043674179
1700 S TAMIAMI TRL
Sarasota, FL 34239
(941) 917-4896
✔ PECOS✔ Accepts Medicare9.0 mi
Internal Medicine
NPI 1285167692
4020 SAWYER RD STE A
Sarasota, FL 34233
(727) 739-6494
✔ PECOS✔ Accepts Medicare11 mi
Internal Medicine
NPI 1235111519
901 22ND AVE S
Saint Petersburg, FL 33705
(727) 310-0925
✔ PECOS22 mi
Family Practice
NPI 1407343569
901 22ND AVE S
St Petersburg, FL 33705
(727) 310-0925
✔ PECOS✔ Accepts Medicare22 mi
Family Practice
NPI 1528267457
901 22ND AVE S
St Petersburg, FL 33705
(727) 310-0925
✔ PECOS22 mi
Cardiovascular Disease (Cardiology)
NPI 1427044502
901 22ND AVE S
Saint Petersburg, FL 33705
(727) 310-0925
✔ PECOS22 mi
Nurse Practitioner
NPI 1912607292
901 22ND AVE S
St Petersburg, FL 33705
(727) 310-0925
✔ PECOS22 mi
See all 343 clinicians

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 10D2146434

Dedicated Senior Medical Center - Bradenton · Bradenton, FL
Active · expires Mar 28, 2028
CLIA Number10D2146434
Laboratory TypePhysician Office
Certificate Effective DateMarch 29, 2026
Certificate Expiration DateMarch 28, 2028
Laboratory DirectorChristopher J. Chen
Laboratory Phone(941) 357-7950
Laboratory LocationDedicated Senior Medical Center - Bradenton1505 53rd Ave, E, Bradenton, FL 34203
CLIA data matches this NPI record on: Address 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 Dedicated Senior Medical Center Of Florida, LLC's NPI number?

The NPI number for Dedicated Senior Medical Center Of Florida, LLC is 1811404908. It was assigned to this organization in the NPPES registry on January 10, 2018. The provider is also known as Dedicated Senior Medical Center Bradenton.

Where is Dedicated Senior Medical Center Of Florida, LLC located?

Dedicated Senior Medical Center Of Florida, LLC is located at 1505 53rd Ave, Bradenton, FL 34203. The listed phone number is (305) 628-6117.

What is Dedicated Senior Medical Center Of Florida, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Dedicated Senior Medical Center Of Florida, LLC enrolled in Medicare?

Yes. Dedicated Senior Medical Center Of Florida, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dedicated Senior Medical Center Of Florida, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 343 clinicians in 10 Medicare specialties reassign their Medicare billing to Dedicated Senior Medical Center Of Florida, 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 (129), Internal Medicine (120) and Nurse Practitioner (66). Of these, 11 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dedicated Senior Medical Center Of Florida, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2146434) is associated with this NPI, valid through March 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dedicated Senior Medical Center Of Florida, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 33 other insurers list Dedicated Senior Medical Center Of Florida, 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 Dedicated Senior Medical Center Of Florida, LLC was last updated on January 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.