Organization Active NPI

Bradenton Outpatient Fluoroscopic Services LLC

  • Radiology Clinic/Center
  • Jupiter, FL
National Provider Identifier
1104944297
Registry record updated Oct 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
BRADENTON OUTPATIENT FLUOROSCOPIC SERVICES LLC
Practice address
1471 Cades Bay Ave
Jupiter, FL 33458-5301
Phone
(561) 630-6277
Fax
(561) 630-6062
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2007

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

Authorized official

Name
Ms. Donna M. Scroggins
Title
Manager
Phone
(561) 630-6277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

1471 Cades Bay Ave
Jupiter, FL 33458-5301

Mailing address

1471 Cades Bay Ave
Jupiter, FL 33458-5301
Phone (561) 630-6277

National Provider Directory

National Provider Directory

Locations

6015 Pointe West Blvd
Ste 101
Bradenton, FL 34209
Phone (941) 782-0101

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191801600000",
    "number": "1104944297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1471 CADES BAY AVE",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585301",
            "telephone_number": "561-630-6277",
            "fax_number": "561-630-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1471 CADES BAY AVE",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585301",
            "telephone_number": "561-630-6277",
            "fax_number": "561-630-6062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADENTON OUTPATIENT FLUOROSCOPIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-10-08",
        "status": "A",
        "authorized_official_last_name": "SCROGGINS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-630-6277",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2007; 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.