NORTH BRANDON IMAGING LLC (NPI# 1649276098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649276098 |
| Entity Type | Organization |
| Organization Name | NORTH BRANDON IMAGING LLC |
| Other Organization Name | TOWER DIAGNOSTIC CENTER OF BRANDON |
| Practice Address |
613 Oakfield Dr Brandon FL 33511-5714 |
| Practice Telephone | 8136612222 |
| Practice Fax Number | 8136818494 |
| Mailing Telephone | 8136612222 |
| Mailing Fax Number | 8136818494 |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2008-10-09 |
| Authorized Official Name | MR. LAVELLE HARDIN (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 6153448203 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities | ||
| N | 261QR0206X |
Clinic/Center Specialization: Radiology, Mammography |
Ambulatory Health Care Facilities | ||
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS OF FL | V3028 | 01 |
| FL | RR MEDICARE | P00280433 | 01 |
| FL | 272079500 | 05 |
| Other Name | Type Code |
|---|---|
| Tower Diagnostic Center of Brandon | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639269392 | North Brandon Imaging LLC | Radiology | 613 Oakfield Drive, Bradon, FL 33511 | 2006-10-13 |
| Street Address |
613 OAKFIELD DR |
| City | BRANDON |
| State | FL |
| Zip Code | 33511-5714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184620692 | Mark Douglas Nanni | Radiology | 613 Oakfield Dr, Brandon, FL 33511-5714 | 2005-06-21 |
| 1073709952 | Maria Jimena Sanchez-carney | Radiology | 613 Oakfield Dr, Brandon, FL 33511-5714 | 2007-09-24 |
| 1508880535 | Keith Andrew Ferguson | Radiology | 613 Oakfield Dr, Tower Diagnostic Center, Brandon, FL 33511-5714 | 2006-07-26 |
| 1023009842 | North Brandon Imaging, LLC | Radiology | 613 Oakfield Dr, Brandon, FL 33511-5714 | 2005-11-01 |
| 1114924305 | John David Mctaggart | Radiology | 613 Oakfield Dr, Brandon, FL 33511-5714 | 2005-07-01 |
| 1730186313 | Brian Forrest Butler | Radiology | 613 Oakfield Dr, Brandon, FL 33511-5714 | 2005-06-28 |
| 1780680298 | James Joseph Cuffe Jr. | Radiology | 613 Oakfield Dr, Brandon, FL 33511-5714 | 2005-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367555 | Ability Beyond Measures LLC. | Clinic/Center | 2705 Isabella Valley Court, Brandon, FL 33511 | 2020-02-05 |
| 1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
| 1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
| 1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
| 1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
| 1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
| 1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
| 1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
| Find all providers in zip 33511 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619500881 | Adventhealth West Florida Imaging, Inc. | Clinic/Center | 305 E Brandon Blvd Ste B, Brandon, FL 33511-5222 | 2020-02-17 |
| 1467499863 | Bloomingdale Radiology Corp | Clinic/Center | 3350 Bell Shoals Rd, Brandon, FL 33511-7637 | 2006-06-02 |
| 1578018305 | Mri Associates of Brandon, LLC | Clinic/Center | 403 S Kings Ave, Brandon, FL 33511-5905 | 2016-08-22 |
| 1750538906 | Musculoskeletal Institute Chartered | Clinic/Center | 560 S Lakewood Dr Ste 101, Brandon, FL 33511-5015 | 2008-08-19 |
| 1770744641 | Tower Imaging Inc | Clinic/Center | 3350 Bell Shoals Rd, Bloomingdale Radiology Center, Brandon, FL 33511-7637 | 2008-06-23 |
| 1922085208 | Sapphire Brandon Ltd | Clinic/Center | 615 Vonderburg Dr, Brandon, FL 33511-5972 | 2005-12-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.