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

Allegra Richardson

Individual provider Surgical Physician Assistant · NPI 1245609288

Allegra Richardson is a Physician Assistant in Bradenton, Florida. Qualified in 2015, 11 years ago. Practices with West Florida Trauma Network, LLC, a 15-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
11
Licensed in
FL
In the registry since
2015
Specialties on file
3
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Practice location Address checks out

2010 59th St W
Bradenton, FL 34209-4616
Phone: (941) 794-5621
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA911640 (FL)
Medical Physician Assistant Taxonomy 363AM0700X
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA11020836 (FL)

Record details

NPI number1245609288
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 21, 2015
Last updated in NPPESApril 12, 2023
Certification dateApril 12, 2023
Mailing address2010 59th St W Ste 2200, Bradenton, FL 34209-4689

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice West Florida Trauma Network, Llc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Bradenton