Healthcare Provider Details

I. General information

NPI: 1184205494
Provider Name (Legal Business Name): BRADFORD TAYLOR BINDAS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2021
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6633 FOREST AVE STE 302
NEW PORT RICHEY FL
34653-2612
US

IV. Provider business mailing address

1683 SUMMERDALE DR
CLEARWATER FL
33764-6501
US

V. Phone/Fax

Practice location:
  • Phone: 727-845-4300
  • Fax:
Mailing address:
  • Phone: 407-864-2462
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License NumberME158509
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: