Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brache Dialysis LLC

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1871971556

Brache Dialysis LLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Tampa, Florida. Medicare rates this dialysis facility 2 out of 5. Registered with an NPI since 2015.

CMS rating
2 of 5
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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CMS quality rating

2 out of 5 — official dialysis facility rating from CMS Care Compare (CCN 682596)

Practice location Address checks out

2205 W Kennedy Blvd
Tampa, FL 33606-1536
Phone: (813) 254-3638
Fax: (813) 254-3809
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) Taxonomy 261QE0700X

Record details

NPI number1871971556
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Wey — Vp Licensure & Certification · (615) 341-6641
Other names Kennedy Boulevard Dialysis; Kennedy Boulevard Dialysis
NPI enumeratedMay 13, 2015
Last updated in NPPESAugust 21, 2025
Certification dateAugust 21, 2025
Mailing address5200 Virginia Way, L&C Dept, Brentwood, TN 37027-7569

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