Individual provider Active NPI

Brian M Daignault

  • Physician Assistant
  • Bradenton, FL
National Provider Identifier
1528652120
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA91115554 Issued in FL
Practice address
6732 64TH PL E
Bradenton, FL 34203-8044
Phone
(941) 587-1989
NPI assigned
Feb 24, 2021
Last updated
Feb 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA91115554 FL Primary
Occupational Therapist 225X00000X OT15448 FL

Addresses

Primary practice location

6732 64TH PL E
Bradenton, FL 34203-8044

Mailing address

6732 64TH PL E
Bradenton, FL 34203-8044
Phone (941) 587-1989

Other practice location 1

3844 Bee Ridge Rd
Sarasota, FL 34233-1163
Phone (941) 202-5342

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
I20220404000909 FL Practitioner - Physician Assistant 0648666412 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connexis Medical Services LLCGroup PAC ID 2163550518, 13 clinicians

Practice addresses (Care Compare)

5955 Rand Blvd
Sarasota, FL 34238-5160
Phone (941) 552-7500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT15448FLMDOccupational Therapist
PA91115554FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Connexis Medical Services LLC CurrentSince Aug 1, 2025 Accepting new patients
Arcadia Medical Associates PA CurrentSince Aug 1, 2025 Accepting new patients
HPP Physicians LLC PastSince Jul 16, 2023 Accepting new patients

Locations

425 Nursing Home Dr
Arcadia, FL 34266
Phone (863) 494-9991

425 Nursing Home Dr
Ste 2
Arcadia, FL 34266

5955 Rand Blvd
Sarasota, FL 34238
Phone (941) 552-7500

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1528652120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6732 64TH PL E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342038044",
            "telephone_number": "941-587-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6732 64TH PL E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342038044",
            "telephone_number": "941-587-1989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3844 Bee Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342331163",
            "country_code": "US",
            "telephone_number": "941-202-5342",
            "fax_number": "855-253-4836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAIGNAULT",
        "first_name": "BRIAN",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-24",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA91115554",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT15448",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.