NPIMap

Individual provider Active NPI

Juliana Dale

  • Family Medicine Physician
  • Bradenton, FL
National Provider Identifier
1801327572
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS16014 Issued in FL
Practice address
201 5TH Avenue Dr E Ste 200
Bradenton, FL 34208-1915
Phone
(941) 746-4151
NPI assigned
Mar 24, 2017
Reactivated
Aug 9, 2022
Last updated
Jun 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X OS16014 FL Primary

Addresses

Primary practice location

201 5TH Avenue Dr E Ste 200
Bradenton, FL 34208-1915

Mailing address

201 5TH Avenue Dr E Ste 200
Bradenton, FL 34208-1915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200918001516 FL Practitioner - Family Practice 8022436336 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Group of Manatee County LLCGroup PAC ID 4486976966, 6 clinicians

Practice addresses (Care Compare)

201 5TH Ave Dr E
Bradenton, FL 34208-1915
Phone (941) 746-4151

250 2ND St E
Suite 3B
Bradenton, FL 34208-1027

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS16014FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Juliana S. Dale DO PA CurrentSince Sep 14, 2020 Accepting new patients
Hospitalist Group of Manatee County, LLC CurrentSince Feb 7, 2023 Accepting new patients

Locations

201 5th Avenue Dr E
Ste 200
Bradenton, FL 34208

250 2nd St E
Ste 3B
Bradenton, FL 34208
Phone (941) 366-7475

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: juliana.dale@jsddp-fl.direct.office.nextgen.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Surrey Place Health and RehabilitationBradenton, FL, CCN 105629 Skilled nursing facility Adp of the SNF Mar 9, 2026

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 10

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": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1801327572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 5TH AVENUE DR E STE 200",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 5TH AVENUE DR E STE 200",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081915",
            "telephone_number": "941-746-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALE",
        "first_name": "JULIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-24",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "deactivation_date": "2022-07-08",
        "reactivation_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS16014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.