David Michael Bracciano Sr., D.O.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

OS 7345 Issued in FL

Practice address

8430 Cooper Creek Blvd
Suite 102
University Park, FL 34201-2016

Phone

(941) 360-2255

Fax

(941) 487-1777

NPI assigned

Apr 11, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Michigan State University College of Osteopathic Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Dermatology, LLCGroup PAC ID 6002031531, 48 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087

Merit-based Incentive Payment System (MIPS)

Final score

96.62 of 100Reported as individual

Quality

96.02

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Premier Dermatology, LLC

  • Dermatology Physician
  • Sarasota, FL
  • NPI 1700202298
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sarasota County Public Hospital District

  • General Acute Care Hospital
  • Sarasota, FL
  • NPI 1245294826
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1013970870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4911 BENITO CT",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342118517",
            "telephone_number": "941-753-1510",
            "fax_number": "941-487-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8430 COOPER CREEK BLVD",
            "address_2": "SUITE 102",
            "city": "UNIVERSITY PARK",
            "state": "FL",
            "postal_code": "342012016",
            "telephone_number": "941-360-2255",
            "fax_number": "941-487-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACCIANO",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "OS 7345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112939371",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "dbracciano@premierdermdocs.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Direct Email Address (hisp)",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "8430 Cooper Creek Blvd",
            "address_2": "Suite 102",
            "city": "University Park",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342012016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• BJ'S Wholesale Club Inc.
• BK Optical of Sarasota Inc
• Sarah Bocchi
• Anthonina Bowden, RBT
• Bracciano Dermatology PLC
• Julie Bracciano, PA
• Tyesha Brown
• Bruce J Levine, DPM PA
• Brajha Burnett
• Katelyn Butler

• MOHS-Micrographic Surgery Physician in University Park, FL
• Providers in University Park, FL by specialty
• MOHS-Micrographic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.