Organization Active NPI

Heart & Vascular Center of Sarasota Inc

  • Interventional Cardiology Physician
  • Sarasota, FL
National Provider Identifier
1033174453
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
HEART & VASCULAR CENTER OF SARASOTA INC
Practice address
1851 Hawthorne Street
Sarasota, FL 34239-2945
Phone
(941) 365-0433
Fax
(941) 954-2064
NPI assigned
Apr 19, 2006
Last updated
Jun 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Clayton E Bredlau, M.D.NPI 1124010335
Title
Staff Physician
Phone
(941) 365-0433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X NU Primary

Addresses

Primary practice location

1851 Hawthorne Street
Sarasota, FL 34239-2945

Mailing address

PO Box 5699
Sarasota, FL 34277-5699
Phone (941) 365-0433

Other identifiers 2

IdentifierTypeStateIssuer
CK3972OtherFLMCR RAILROAD
264865200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050610000491 FL Part B Supplier - Clinic/Group Practice 0345284360 Receives reassigned benefits from 4 practitioners
Practice locations: Sarasota, FL

National Provider Directory

National Provider Directory

Locations

1217 S East Ave
Ste 104
Sarasota, FL 34239
Phone (941) 365-0433

1540 S Tamiami Trl
Sarasota, FL 34239
Phone (941) 365-0433

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73573

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1033174453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5699",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342775699",
            "telephone_number": "941-365-0433",
            "fax_number": "941-954-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 HAWTHORNE STREET",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392945",
            "telephone_number": "941-365-0433",
            "fax_number": "941-954-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART & VASCULAR CENTER OF SARASOTA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "BREDLAU",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "STAFF PHYSICIAN",
        "authorized_official_telephone_number": "941-365-0433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR RAILROAD",
            "identifier": "CK3972",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264865200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.