Bradenton Orthopaedic Associates – Orthopaedic Surgery Physician, NPI 1285740720
Orthopaedic Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Bradenton Orthopaedic Associates
PO BOX 20047
TAMPA, FL 336220047
Phone: (941) 792-1404
Fax: (941) 761-0712
Type: Mailing
6202 17th Ave W
Bradenton, FL 342097838
Phone: (941) 792-1404
Fax: (941) 761-0712
Type: Location
8340 Lakewood Ranch Blvd Ste 300
Lakewood Ranch, FL 342025046
Phone: (941) 792-1404
Fax: (941) 761-0712
Type: Location
8000 STATE ROAD 64 E
BRADENTON, FL 342127703
Phone: (941) 792-1404
Fax: (941) 761-0712
Type: Mailing
8000 SR 64 E
BRADENTON, FL 34212
Phone: (941) 792-1404
Fax: (941) 761-0712
Type: Location
6015, Pointe West Boulevard, Bradenton, Manatee County, Florida, 34209, United States
BRADENTON, FL 342095532
Phone: (941) 792-1404
Fax: (941) 761-0712
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-09-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-09-30 (615 days ago).
Enrollment records
2
Earliest due date
2024-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040803000816 | O | Clinic/Group Practice | FL | TBD |
| O20100930058239 | O | Physician - Orthopedic/Orthopedic Surgery | FL | 2024-09-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33622)
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