CENTRAL BREVARD RADIOLOGY PA – NPI #1932217759
Radiology
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
CENTRAL BREVARD RADIOLOGY PA is a radiologist located in COCOA BEACH, FL. NPPES has assigned the NPI number 1932217759 to CENTRAL BREVARD RADIOLOGY PA on August 29, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.
The NPI profile was previously updated about 14 years ago on Feb 09, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CENTRAL BREVARD RADIOLOGY PA below.
NPI Profile for
CENTRAL BREVARD RADIOLOGY PA
(about 20 years ago)
COCOA BEACH, FL 32931-3585 Phone: (321) 799-7192 Fax: (770) 237-4866
PORT ST LUCIE, FL 34988-1839 Phone: (727) 896-3134 Fax: (770) 621-3181
PRESIDENT
Phone: (321) 799-7192
Identifiers for CENTRAL BREVARD RADIOLOGY PA
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | BLUE CROSS BLUE SHIELD | FL | 39812 |
| OTHER | RR MEDICARE | FL | CA4481 |
| MEDICAID | FL | 058771100 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 2085R0202X - Radiology / Diagnostic Radiology (Primary) |
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| 2085U0001X - Radiology / Diagnostic Ultrasound |
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| 2085R0204X - Radiology / Vascular & Interventional Radiology |
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| 2085P0229X - Radiology / Pediatric Radiology |
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| 2085N0904X - Radiology / Nuclear Radiology |
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| 2085B0100X - Radiology / Body Imaging |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.