Individual provider Active NPI

Richard George Bindernagel Jr., DO

  • Dermatology Physician
  • Bradenton, FL
National Provider Identifier
1023646924
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
OS21238 Issued in FL
Practice address
5959 17TH Ave W
Bradenton, FL 34209-7836
Phone
(941) 877-2687
Fax
(941) 340-0794
NPI assigned
Mar 28, 2020
Last updated
Aug 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X OS21238 FL Primary
MOHS-Micrographic Surgery Physician 207ND0101X OS21238 FL

Addresses

Primary practice location

5959 17TH Ave W
Bradenton, FL 34209-7836

Mailing address

5959 17TH Ave W
Bradenton, FL 34209-7836

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240731004240 FL Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 4981141595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Dermatology and Cosmetic Surgery P aGroup PAC ID 7517851215, 25 clinicians

Practice addresses (Care Compare)

1009 Dale Mabry Hwy
Lutz, FL 33548-3021
Phone (813) 264-5447

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision16
Removal of skin lesions440
Removal of skin cancer69
Removal or shaving of skin growth1-10
Skin biopsy240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS21238FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Dermatology and Cosmetic Surgery P a Dermatology CurrentSince Jul 29, 2024 Accepting new patients

Locations

1009 Dale Mabry Hwy
Lutz, FL 33548
Phone (813) 264-5447

8220 US Highway 19
Port Richey, FL 34668
Phone (727) 585-8591

2525 Pasadena Ave S
South Pasadena, FL 33707
Phone (727) 585-8591

2525 Pasadena Ave S
Ste S
South Pasadena, FL 33707
Phone (727) 360-0853

1130 Commercial Way
Spring Hill, FL 34606
Phone (352) 688-5544

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: richard.bindernagel@hca4.eclinicaldirectplus.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1585353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1023646924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 17TH AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342097836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 17TH AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342097836",
            "telephone_number": "941-877-2687",
            "fax_number": "941-340-0794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINDERNAGEL",
        "first_name": "RICHARD",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-28",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS21238",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "OS21238",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.