Active NPI
Dominick Michael Bennese, M.B.A., ATC/L
- Athletic Trainer
- Bradenton, FL
National Provider Identifier
1295796522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AL 1848
- Practice address
- 5500 34TH St W
Bradenton, FL 34210-3506 - Phone
- (941) 752-2448
- NPI assigned
- Mar 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AL 1848 | FL | Primary |
Addresses
Primary practice location
5500 34TH St W
Bradenton, FL 34210-3506
Mailing address
11025 Bristol Bay Dr
Bradenton, FL 34209-7943
Phone (814) 577-1800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL 1848 | FL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1295796522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11025 BRISTOL BAY DR",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342097943",
"telephone_number": "814-577-1800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 34TH ST W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342103506",
"telephone_number": "941-752-2448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNESE",
"first_name": "DOMINICK",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "M.B.A., ATC/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-28",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL 1848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.