Active NPI
MCR Health, Inc.
Doing business as Advanced Specialty Institute Dermatology
- Federally Qualified Health Center (FQHC)
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- MCR HEALTH, INC.
- Doing business as
- Advanced Specialty Institute Dermatology
- Practice address
- 6015 Pointe West Blvd
Bradenton, FL 34209-5525 - Phone
- (941) 304-3971
- NPI assigned
- Aug 17, 2006
- Last updated
- Jun 10, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melvin B Price
- Title
- President and Ceo
- Phone
- (941) 776-4000
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | NU | Primary | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Prosthetic/Orthotic Supplier | 335E00000X | NU | ||
| Dermatology Physician | 207N00000X | NU | ||
| Podiatrist | 213E00000X | NU | ||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | NU |
Addresses
Primary practice location
6015 Pointe West Blvd
Bradenton, FL 34209-5525
Mailing address
101 Riverfront Blvd Ste 710
Bradenton, FL 34205-8823
Phone (941) 776-4000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 029561224 | Medicaid | FL | |
| 029561225 | Medicaid | FL | |
| 106152601 | Medicaid | FL |
Other names 1
- Advanced Specialty Institute Dermatology
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060921000342 | FL | Part A Provider - Federally Qualified Health Center (FQHC) | 7214847995 | Practice locations: Bradenton, FL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1740393073. Details of each certification follow.
Federally qualified health center certification: CCN 101802
- Legal name
- MCR HEALTH INC
- Doing business as
- RIVERVIEW FOOT AND ANKLE SPECIALISTS
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Nov 10, 2006
- Last certification
- Nov 10, 2006
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation
- Incorporated
- Apr 11, 1978 in FL
- Enrollment address
- 300 Riverside Dr E
Ste 1500
Bradenton, FL 34208-1031
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 11
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Mary L Ruiz | Corporate Director | Nov 29, 2023 | |
| Janene M Amick | Corporate Director | Nov 29, 2023 | |
| Daniel J Friedrick | Corporate Director | Nov 29, 2023 | |
| Reginald J Bellamy | Corporate Director | Nov 29, 2023 | |
| Leroy J Washington | Corporate Director | Nov 29, 2023 | |
| Stephen S Wicker | Corporate Director | Dec 1, 2013 | |
| Lynette Edwards | Corporate Director | Jun 1, 2010 | |
| Edna Y Baugh | Corporate Director | Nov 29, 2023 | |
| Daniel Jaime | Corporate Director | Nov 29, 2023 | |
| Melvin B Price | Corporate Officer | Nov 9, 2022 | |
| Operational/Managerial Control | Nov 9, 2022 | ||
| Kathleen a Hargreaves | Corporate Director | Nov 29, 2023 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Foot & Ankle Surgery Podiatrist
- Bradenton, FL
- NPI 1841267424
Corporate Officer, Operational/Managerial Control
All facility ownership & control disclosures 16
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Whole Child Pediatrics and River Landing OB/GYN | Federally qualified health center | 5% Or Greater Direct Ownership Interest | Nov 2, 2009 |
| North Manatee Family Healthcare Center | Federally qualified health center | 5% Or Greater Direct Ownership Interest | Oct 11, 1977 |
| Southwest Health Center | Federally qualified health center | 5% Or Greater Direct Ownership Interest | Oct 11, 1977 |
| West Manatee Health Center | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Oct 11, 1977 |
| Bradenton Family Medical Center | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Oct 11, 1977 |
| MCR Health Inc | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Oct 11, 1977 |
| MCR Health Arcadia Podiatry | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Oct 11, 1977 |
| Riverside Medical Services | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Oct 11, 1977 |
| MCR Health Inc | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Oct 11, 1977 |
| Community Care Family Clinic Counseling Services | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Apr 11, 1978 |
| Twin Rivers Medical Center | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Oct 11, 1977 |
| South County Medical Center | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Oct 11, 1977 |
| MCR Health | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Oct 11, 1977 |
| Southeast Family Healthcare Center | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Oct 11, 1977 |
| Riverside Medical Center | Federally qualified health center | 5% Or Greater Direct Ownership Interest | Oct 11, 1977 |
| Riverside Medical Center - Pulmonology | Federally qualified health center | 5% Or Greater Direct Ownership Interest | Oct 11, 1977 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781049600000",
"number": "1740393073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 RIVERFRONT BLVD STE 710",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342058823",
"telephone_number": "941-776-4000",
"fax_number": "941-845-4963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6015 POINTE WEST BLVD",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342095525",
"telephone_number": "941-304-3971"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCR HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-17",
"last_updated": "2026-06-10",
"certification_date": "2026-06-10",
"status": "A",
"authorized_official_last_name": "PRICE",
"authorized_official_first_name": "MELVIN",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT AND CEO",
"authorized_official_telephone_number": "941-776-4000"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "029561224",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "029561225",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106152601",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Advanced Specialty Institute Dermatology",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bradenton, FL
- MCR Health, Inc.
- MCR Health, Inc. (Edgar H. Price Jr Family and Children Healthcare Center)
- MCR Health, Inc. (MCR Health Southeast High School)
- MCR Health, Inc. (East Manatee Health & Wellness Center Pharmacy)
- MCR Health, Inc. (Manor Healthcare Center)
- MCR Health, Inc. (River Landings OB/GYN)
- MCR Health, Inc. (MCR Health Cortez)
- MCR Health, Inc. (Central Pharmacy)
- MCR Health, Inc. (Advanced Specialty Institute Pain Mgmt)
- MCR Health, Inc. (Advance Specialty Institute)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.