Organization Active NPI

Vibrant Family Chiropractic PLLC

  • Chiropractor
  • Bradenton, FL
National Provider Identifier
1962369579
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
VIBRANT FAMILY CHIROPRACTIC PLLC
Practice address
5454 Lena Rd Unit 107
Bradenton, FL 34211-9499
Phone
(669) 265-4191
NPI assigned
Jan 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Authorized official

Name
Andre Gabriel Beaulieu, DCNPI 1326843202
Title
Co-Owner
Phone
(669) 265-4191

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

5454 Lena Rd Unit 107
Bradenton, FL 34211-9499

Mailing address

5454 Lena Rd Unit 107
Bradenton, FL 34211-9499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260514003306 FL Part B Supplier - Clinic/Group Practice 8921577313 Receives reassigned benefits from 2 practitioners
Practice locations: Bradenton, FL

National Provider Directory

National Provider Directory

Locations

5454 Lena Rd
Unit 107
Bradenton, FL 34211
Phone (669) 265-4191

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1767657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767657600000",
    "number": "1962369579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 LENA RD UNIT 107",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342119499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 LENA RD UNIT 107",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342119499",
            "telephone_number": "669-265-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRANT FAMILY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-06",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A",
        "authorized_official_last_name": "BEAULIEU",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "GABRIEL",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "669-265-4191",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.