HEALTHSOURCE OF SOUTH BRADENTON LLC
NPI 1972430072
Chiropractor in Bradenton, FL

Active since May 05, 2026
4211 14TH STREET WEST, BRADENTON, FL 34205(941) 866-3058 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Healthsource Of South Bradenton Llc NPPES

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

HEALTHSOURCE OF SOUTH BRADENTON LLC (NPI 1972430072) is a healthcare organization registered as a chiropractor in Bradenton, Florida and active in the NPI registry since May 2026. The organization lists Bruno Contro, President, as its authorized official.

NPPES Registry Identity

NPI1972430072
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameHEALTHSOURCE OF SOUTH BRADENTON LLC
Location Address4211 14TH STREET WESTBradenton, FL 34205
Mailing Address11305 Nw 55th LnDoral, FL 33178-3816 · (610) 937-4862
Organization SubpartNo
Authorized OfficialBruno ControPresident · (610) 937-4862
Enumeration DateMay 5, 2026
NPPES CertifiedApril 2, 2026
✔ NPI 1972430072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
4211 14TH STREET WEST, Bradenton, FL 34205

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)

Healthsource Of South Bradenton Llc 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 Healthsource Of South Bradenton LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1467304519
11629 FOX RD
Indianapolis, IN 46236
(317) 823-5800
879 mi

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 Healthsource Of South Bradenton LLC's NPI number?

The NPI number for Healthsource Of South Bradenton LLC is 1972430072. It was assigned to this organization in the NPPES registry on May 5, 2026.

Where is Healthsource Of South Bradenton LLC located?

Healthsource Of South Bradenton LLC is located at 4211 14th Street West, Bradenton, FL 34205. The listed phone number is (941) 866-3058.

What is Healthsource Of South Bradenton LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Healthsource Of South Bradenton LLC enrolled in Medicare?

Yes. Healthsource Of South Bradenton LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Healthsource Of South Bradenton LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Healthsource Of South Bradenton 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Healthsource Of South Bradenton LLC was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.