Organization Active NPI

Brandon Cardiology Clinic PA

  • Cardiovascular Disease Physician
  • Brandon, FL
National Provider Identifier
1053338954
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
BRANDON CARDIOLOGY CLINIC PA
Practice address
320 Oakfield Dr
Brandon, FL 33511-5723
Phone
(813) 689-1912
Fax
(813) 684-3335
NPI assigned
Jul 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

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

Authorized official

Name
Dallas Dunne
Title
Billing Rep
Phone
(813) 685-2191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X FL Primary

Addresses

Primary practice location

320 Oakfield Dr
Brandon, FL 33511-5723

Mailing address

321 E Robertson St
Brandon, FL 33511-5253
Phone (813) 685-2191

National Provider Directory

National Provider Directory

Locations

320 Oakfield Dr
Ste A
Brandon, FL 33511
Phone (813) 386-3333

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1053338954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 E ROBERTSON ST",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115253",
            "telephone_number": "813-685-2191",
            "fax_number": "813-689-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 OAKFIELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115723",
            "telephone_number": "813-689-1912",
            "fax_number": "813-684-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON CARDIOLOGY CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "DUNNE",
        "authorized_official_first_name": "DALLAS",
        "authorized_official_title_or_position": "BILLING REP",
        "authorized_official_telephone_number": "813-685-2191"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.