Individual provider Active NPI

James Bryant Divincenzo, DPM

  • Podiatrist
  • Bradenton, FL
National Provider Identifier
1386610327
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
P01671 Issued in FL
Practice address
3003 26TH St W
Bradenton, FL 34205-3739
Phone
(941) 753-1234
Fax
(941) 755-1332
NPI assigned
Feb 28, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X P01671 FL Primary

Addresses

Primary practice location

3003 26TH St W
Bradenton, FL 34205-3739

Mailing address

3003 26TH St W
Bradenton, FL 34205-3739
Phone (941) 753-1234

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120518000367 FL Practitioner - Podiatry 1850406398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sammy and Divincenzo, PAGroup PAC ID 1557482007, 2 clinicians

Practice addresses (Care Compare)

3003 26TH St W
Bradenton, FL 34205-3739
Phone (941) 753-1234

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P01671FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sammy & Divincenzo, P.a. Podiatrist CurrentSince Dec 11, 2002 Accepting new patients
Sammy & Divincenzo, PA Podiatrist CurrentSince Dec 11, 2002 Accepting new patients

Locations

3003 26th St W
Bradenton, FL 34205
Phone (941) 753-1234

7210 US Highway 301 N
Ellenton, FL 34222
Phone (941) 722-5555

Organizations & group practices 2

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1386610327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 26TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342053739",
            "telephone_number": "941-753-1234",
            "fax_number": "941-755-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 26TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342053739",
            "telephone_number": "941-753-1234",
            "fax_number": "941-755-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIVINCENZO",
        "first_name": "JAMES",
        "middle_name": "BRYANT",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "P01671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.