Organization Active NPI

Healthsource of South Bradenton LLC

  • Chiropractor
  • Bradenton, FL
National Provider Identifier
1972430072
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HEALTHSOURCE OF SOUTH BRADENTON LLC
Practice address
4211 14TH Street West
Bradenton, FL 34205
Phone
(941) 866-3058
NPI assigned
May 5, 2026
Last updated
May 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Authorized official

Name
Dr. Bruno Contro, DCNPI 1730412750
Title
President
Phone
(610) 937-4862

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
Chiropractor 111N00000X Primary

Addresses

Primary practice location

4211 14TH Street West
Bradenton, FL 34205

Mailing address

11305 NW 55TH LN
Doral, FL 33178-3816
Phone (610) 937-4862

National Provider Directory

National Provider Directory

Locations

4211 14th St W
Bradenton, FL 34205
Phone (941) 866-3058

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1777939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1972430072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11305 NW 55TH LN",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331783816",
            "telephone_number": "610-937-4862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 14TH STREET WEST",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34205",
            "telephone_number": "941-866-3058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSOURCE OF SOUTH BRADENTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-05",
        "last_updated": "2026-05-05",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "CONTRO",
        "authorized_official_first_name": "BRUNO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-937-4862",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_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 May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.