Active NPI
Alvaro Ramon Bada, MD
- Surgery Physician
- Port Charlotte, FL
National Provider Identifier
1023074911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME39970
- Practice address
- 18308 Murdock Circle
#101
Port Charlotte, FL 33948 - Phone
- (941) 255-0069
- Fax
- (941) 255-0072
- NPI assigned
- Apr 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME39970 | FL | Primary |
Addresses
Primary practice location
18308 Murdock Circle
#101
Port Charlotte, FL 33948
Mailing address
18308 Murdock Circle
#101
Port Charlotte, FL 33948
Phone (941) 255-0069
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 043820100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME39970 | FL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Domingo E Galliano Jr PA | Surgery | Past | Accepting new patients |
| Advanced Wound Systems LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/17708/brand/1/csg/1/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- St Petersburg, FL
- NPI 1508054271
-
- Colon & Rectal Surgery Physician
- Port Charlotte, FL
- NPI 1902060601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516665600000",
"number": "1023074911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18308 MURDOCK CIRCLE",
"address_2": "#101",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "33948",
"telephone_number": "941-255-0069",
"fax_number": "941-255-0072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18308 MURDOCK CIRCLE",
"address_2": "#101",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "33948",
"telephone_number": "941-255-0069",
"fax_number": "941-255-0072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BADA",
"first_name": "ALVARO",
"middle_name": "RAMON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-21",
"last_updated": "2018-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME39970",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "043820100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.