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BRACHE DIALYSIS LLC
NPI 1871971556
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Tampa, FL

Active since May 13, 2015
1/5
Overall Rating
2205 W KENNEDY BLVD, TAMPA, FL 33606(813) 254-3638(813) 254-3809 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 4, 2023, Sep 20, 2022, Oct 26, 2020 and 1 more (4 updates tracked since 2019).

About Brache Dialysis Llc NPPES

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

BRACHE DIALYSIS LLC (NPI 1871971556), doing business as Kennedy Boulevard Dialysis, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Tampa, Florida and active in the NPI registry since May 2015. The organization lists Samuel T. Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1871971556
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameBRACHE DIALYSIS LLC
Location Address2205 W KENNEDY BLVDTampa, FL 33606-1536
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Phone(813) 254-3638
Fax(813) 254-3809
Organization SubpartNo
Authorized OfficialSamuel T. WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateMay 13, 2015
Last NPPES UpdateAugust 21, 20254 updates tracked since enumeration
NPPES CertifiedAugust 21, 2025
✔ NPI 1871971556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
2205 W KENNEDY BLVD, Tampa, FL 33606
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Other Names 1

Doing Business AsKennedy Boulevard Dialysis

Other Identifiers 1

Medicaid017606800FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for DaVita Kennedy Boulevard Dialysis (CMS certification number 682596), from CMS Care Compare.

DaVita Kennedy Boulevard Dialysis

Dialysis facility · Tampa, FL
1/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number682596
ESRD NetworkNetwork 7
Hemodialysis Stations20
Medicare-Certified SinceFebruary 19, 2016
Location2205 W KENNEDY BLVDTampa, FL 33606 · Hillsborough County
Phone(813) 254-3638
Services Offered
In-center hemodialysis

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 Brache Dialysis LLC's NPI number?

The NPI number for Brache Dialysis LLC is 1871971556. It was assigned to this organization in the NPPES registry on May 13, 2015. The provider is doing business as Kennedy Boulevard Dialysis.

Where is Brache Dialysis LLC located?

Brache Dialysis LLC is located at 2205 W Kennedy Blvd, Tampa, FL 33606. The listed phone number is (813) 254-3638.

What is Brache Dialysis LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Is Brache Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita Kennedy Boulevard Dialysis is a Medicare-certified dialysis facility, certified since February 19, 2016.

What quality rating does Brache Dialysis LLC have?

CMS rates DaVita Kennedy Boulevard Dialysis 1 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Brache Dialysis LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 9 other insurers list Brache Dialysis 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 Brache Dialysis LLC was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.