Partners Imaging Center of Bradenton

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

PARTNERS IMAGING CENTER OF BRADENTON

Practice address

5101 4TH Avenue Cir E
Suite 100
Bradenton, FL 34208-5630

Phone

(941) 782-0414

Fax

(941) 782-0418

NPI assigned

Mar 3, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Richard M. Goldberg, MDNPI 1427086990

Title

Managing Partner

Phone

(941) 951-2100

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard M Goldberg, MD

  • Diagnostic Radiology Physician
  • Sarasota, FL
  • NPI 1427086990
  NPD Authorized official
• Sergiy Kushchayev, MD PHD

  • Diagnostic Radiology Physician
  • Lutz, FL
  • NPI 1669810271
  NPD (past)
• David Alexander Picca, MD

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1043279433
  NPD (past)
• Roman Rozin, MD

  • Diagnostic Radiology Physician
  • Sarasota, FL
  • NPI 1326083171
  NPD (past)
• Nicholas Dickson, D.O.

  • Diagnostic Radiology Physician
  • Edina, MN
  • NPI 1902224017
  NPD (past)
• Supriya Gupta, MD

  • Diagnostic Radiology Physician
  • Kankakee, IL
  • NPI 1548521883
  NPD (past)
• Mathew David Wiener, M.D.

  • Diagnostic Radiology Physician
  • Durham, NC
  • NPI 1376563676
  NPD (past)

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315872000000",
    "number": "1033432166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 S TAMIAMI TRL",
            "address_2": "SUITE 103",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392221",
            "telephone_number": "941-951-2100",
            "fax_number": "941-894-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 4TH AVENUE CIR E",
            "address_2": "SUITE 100",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342085630",
            "telephone_number": "941-782-0414",
            "fax_number": "941-782-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS IMAGING CENTER OF BRADENTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-03",
        "last_updated": "2011-09-13",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "941-951-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parkside Chiropractic, Inc.
• Nicholas Parmenter, DPT
• Robert J Parnes, OD
• Denise Lynn Parrish, AU.D.
• Brandon R Parsons
• Partnership on Aging, Inc.
• Jane E Pasienza, A.P D.O.M
• Melisa Pasli
• Passion Health and Wellness LLC
• Passport Health Holdings, LLC

• All providers in Bradenton, FL
• Radiology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.