LEGACY CONCIERGE MEDICINE, PLLC
NPI 1912865080
Family Medicine in Bradenton, FL

Active since January 15, 2026
6114 MANATEE AVE W, BRADENTON, FL 34209(941) 554-7546 Get Directions Write a Review

NPPES record last updated: February 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 19, 2026, Jan 15, 2026 (2 updates tracked since 2026).

About Legacy Concierge Medicine, Pllc NPPES

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

LEGACY CONCIERGE MEDICINE, PLLC (NPI 1912865080) is a healthcare organization registered as a family medicine in Bradenton, Florida and active in the NPI registry since January 2026. The organization lists Pamela Christine Chapman, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1912865080
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLEGACY CONCIERGE MEDICINE, PLLC
Location Address6114 MANATEE AVE WBradenton, FL 34209-2419
Mailing Address6114 Manatee Ave WBradenton, FL 34209-2419 · (941) 401-1001
Organization SubpartNo
Authorized OfficialPamela Christine ChapmanOwner/physician · (337) 256-1535
Enumeration DateJanuary 15, 2026
Last NPPES UpdateFebruary 28, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2026
✔ NPI 1912865080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
6114 MANATEE AVE W, Bradenton, FL 34209

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Legacy Concierge Medicine, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Legacy Concierge Medicine, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1497173439
6114 MANATEE AVE W
Bradenton, FL 34209
(941) 554-7546
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Legacy Concierge Medicine, PLLC's NPI number?

The NPI number for Legacy Concierge Medicine, PLLC is 1912865080. It was assigned to this organization in the NPPES registry on January 15, 2026.

Where is Legacy Concierge Medicine, PLLC located?

Legacy Concierge Medicine, PLLC is located at 6114 Manatee Ave W, Bradenton, FL 34209. The listed phone number is (941) 554-7546.

What is Legacy Concierge Medicine, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Legacy Concierge Medicine, PLLC enrolled in Medicare?

Yes. Legacy Concierge Medicine, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Legacy Concierge Medicine, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Legacy Concierge Medicine, PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Legacy Concierge Medicine, PLLC was last updated on February 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.