Active NPI
Raul A Correa, M.D.
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- License
- ME0026868
- Practice address
- 2505 Manatee Ave W
Bradenton, FL 34205-4935 - Phone
- (941) 748-1171
- Fax
- (941) 748-4531
- NPI assigned
- Jul 10, 2005
- 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 |
|---|---|---|---|---|
| Sports Medicine (Neuromusculoskeletal Medicine) Physician | 204C00000X | ME0026868 | FL | Primary |
Addresses
Primary practice location
2505 Manatee Ave W
Bradenton, FL 34205-4935
Mailing address
4004 Bayside Dr
Bradenton, FL 34210-4113
Phone (941) 755-3300
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080805000714 | FL | Practitioner - General Practice | 0648344978 | Practice locations: Bradenton, FL |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1966
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1111 9TH Ave W
Suite B
Bradenton, FL 34205-7745
Phone (941) 748-1171
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0026868 | FL | MD | Sports Medicine (Neuromusculoskeletal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Medical Industries Inc | Past | Accepting new patients | |
| Dr. Raul Correa | Past | Accepting new patients |
Interoperability endpoints
- drraul@rcorrea.gwaydirect.com
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 and National Provider Directory roles.
-
- General Practice Physician
- Bradenton, FL
- NPI 1538559885
-
dba AllianceCare
- Primary Care Nurse Practitioner
- Boynton Beach, FL
- NPI 1528019247
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mederi Caretenders
- Home Health Agency
- Bradenton, FL
- NPI 1083885198
-
dba Manatee Memorial Hospital
- General Acute Care Hospital
- Bradenton, FL
- NPI 1760472799
-
dba Sarasota Memorial Hospital
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1417955840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4004 BAYSIDE DR",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342104113",
"telephone_number": "941-755-3300",
"fax_number": "941-751-3809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2505 MANATEE AVE W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342054935",
"telephone_number": "941-748-1171",
"fax_number": "941-748-4531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORREA",
"first_name": "RAUL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "204C00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine, Sports Medicine",
"state": "FL",
"license": "ME0026868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
- Randy Salvador Cornejo, PT, DPT
- Meredith Kindell Cornett, RMHCI
- Alexandra Dubois Corona, LCSW
- Dennis A Corona, D.D.S.
- Vincent Corona
- Corrective Care Chiropractic Limited Liability Company
- Cort Transportation Solutions LLC
- Cortes Family Physicians, P.a.
- Cristobal Eduardo Cortes, D.O.
- Cortez Dentistry, PLLC
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.
- 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.