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

Legacy Concierge Medicine, PLLC

Organization Family Medicine Physician · NPI 1912865080

Legacy Concierge Medicine, PLLC is a Family Medicine Physician in Bradenton, Florida. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6114 Manatee Ave W
Bradenton, FL 34209-2419
Phone: (941) 554-7546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1912865080
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pamela Chapman — Owner/Physician · (337) 256-1535
NPI enumeratedJanuary 15, 2026
Last updated in NPPESFebruary 28, 2026
Certification dateFebruary 28, 2026
Mailing address6114 Manatee Ave W, Bradenton, FL 34209-2419

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