Individual provider Active NPI

Ryan Christopher Richardson, PA-C

  • Medical Physician Assistant
  • Bradenton, FL
National Provider Identifier
1093889289
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9113056 Issued in FL
Practice address
2225 59TH St W Ste B
Bradenton, FL 34209-7006
Phone
(941) 792-1412
Fax
(941) 795-0753
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9113056 FL Primary

Addresses

Primary practice location

2225 59TH St W Ste B
Bradenton, FL 34209-7006

Mailing address

2225 59TH St W Ste B
Bradenton, FL 34209-7006
Phone (941) 792-1412

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200423000713 FL Practitioner - Physician Assistant 5991800880 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westside Medical Care, IncGroup PAC ID 9335108851, 6 clinicians

Practice addresses (Care Compare)

2225 59TH St W
Suite B
Bradenton, FL 34209-7006
Phone (941) 792-1412

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Home Doctors, PC PastSince Jun 1, 2004 Accepting new patients
Mme Enterprises Inc Past Accepting new patients
Dr. Safadi & Associates, Inc Past Accepting new patients
Hospitalist Medicine Physicians of Lucas County, LTD Past Accepting new patients
VMD Primary Providers Central Florida PLLC PastSince May 8, 2022 Accepting new patients
Newgen Health Partners LLC Past Accepting new patients
Dr. Winder & Associates,Inc. Past Accepting new patients
At Home Physicians Managing Co PastSince Mar 1, 2010 Accepting new patients

Organizations & group practices 11

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1093889289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 59TH ST W STE B",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342097006",
            "telephone_number": "941-792-1412",
            "fax_number": "941-795-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 59TH ST W STE B",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342097006",
            "telephone_number": "941-792-1412",
            "fax_number": "941-795-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "RYAN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9113056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.