Bruce Alan Rodan, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME037878 Issued in FL

Practice address

3259 Updike Ave
Tallahassee, FL 32311

Phone

(850) 765-0233

NPI assigned

Apr 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Stand Up MRI of Tallahassee Inc

  • Diagnostic Radiology Physician
  • Tallahassee, FL
  • NPI 1609841402
  Medicare reassignment NPD
• Imaging Center of West Palm Beach LLC

  • Radiology Clinic/Center
  • Lake Worth, FL
  • NPI 1639308042
  NPD
• Tropical Imaging Centers LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Plantation, FL
  • NPI 1265935340
  NPD
• Elite Imaging, LLC

  • Diagnostic Radiology Physician
  • Aventura, FL
  • NPI 1942208319
  NPD (past)
• Gardens Radiology Associates, PA

  • Diagnostic Radiology Physician
  • Palm Beach Gardens, FL
  • NPI 1609814656
  NPD (past)

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457913600000",
    "number": "1073575858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3259 UPDIKE AVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32311",
            "telephone_number": "850-765-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3259 UPDIKE AVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32311",
            "telephone_number": "850-765-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODAN",
        "first_name": "BRUCE",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2016-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME037878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268846800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Bell Robinson, ARNP, DSN
• Robbie Ananda Robinson
• Shaletha Robinson
• Temple O. Robinson, M.D.
• Zedaisha Robinson, RBT
• Brooklyn Roddenberry, LCSW
• Courtney Nicole Roddenberry
• Sarah Jordan Roddenberry, MSW, LCSW
• Diana Rodgers, LMHC
• Eden Marie Brock Rodgers, ED.S/M.S.

• Diagnostic Radiology Physician in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.