Individual provider Active NPI

Brandon Thomas Pagan, MD

  • Vascular & Interventional Radiology Physician
  • Dorado, PR
National Provider Identifier
1124417571
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
19771 Issued in PR
Practice address
900 PR-696
Dorado, PR 00646
Phone
(787) 625-5050
NPI assigned
Jan 22, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 19771 PR Primary
Diagnostic Radiology Physician 2085R0202X 19771 PR
Diagnostic Radiology Physician 2085R0202X 10784 GA

Addresses

Primary practice location

900 PR-696
Dorado, PR 00646

Mailing address

7047 21St St N
St Petersburg, FL 33702-4851
Phone (787) 461-6681

Other practice location 1

7047 21st St N
St Petersburg, FL 33702-4851
Phone (787) 461-6681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230824003940 FL Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 4880929470 Reassigns benefits to 6 organizations
I20240208003714 PR Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 4880929470 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
University of Puerto Rico School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors Center Hospital San JuanGroup PAC ID 3678639036, 11 clinicians
Doctors Center Hospital Bayamon IncGroup PAC ID 8123024056, 13 clinicians
Hospitalist Medical Services PSCGroup PAC ID 3476833401, 18 clinicians
Doctors Center Hospital IncGroup PAC ID 7810088796, 20 clinicians
Doctors Center Hospital Carolina LLCGroup PAC ID 3971810540, 11 clinicians
SHC Owner, LLCGroup PAC ID 0446644934, 11 clinicians

Practice addresses (Care Compare)

1395 Calle San Rafael
San Juan, PR 00909-2518
Phone (787) 999-7620

Calle
9 Extension Hermanas Davilas
Bayamon, PR 00960
Phone (787) 622-5420

Carr 2 KM
Suite 7
Manati, PR 00674-8513
Phone 78785433221191

Edificio Jesus T Pinero Ave Fernandez
Bo Pueblo
Carolina, PR 00979
Phone (787) 626-3322

Road 696 Interseccion Ave Efron
Bo Higuillar
Dorado, PR 00646-5718
Phone (787) 625-5050

Hospital & facility affiliations

  • Doctors' Center Hospital, Inc Hospital, Manati, PR, CCN 400118
  • Doctors Center Hospital Orlando Health Dorado Hospital, Dorado, PR, CCN 400137
  • Doctors' Center Hospital San Juan Hospital, Santurce, PR, CCN 400006
  • Doctors' Center Bayamon Hospital, Bayamon, PR, CCN 400102
  • Doctors Center Hospital Carolina LLC Hospital, Carolina, PR, CCN 400132

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19771PRMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Center Hospital San Juan CurrentSince Dec 20, 2023 Accepting new patients
Doctors Center Hospital Bayamon Inc CurrentSince Dec 20, 2023 Accepting new patients
Doctors Center Hospital Carolina LLC Current Accepting new patients
Doctors Center Hospital Carolina LLC Vascular & Interventional Radiology CurrentSince Dec 20, 2023 Accepting new patients
Radiology Imaging Associates, LLC Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Inverness Medical Imaging LLC Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Ocala Health Imaging Services LLC Diagnostic Radiology CurrentSince Jul 13, 2023 Accepting new patients
St Thomas Radiology Associates LLC Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Internal Medicine Care Services LLC CurrentSince Dec 31, 2023 Accepting new patients
Hospitalist Medical Services, PSC CurrentSince Jul 1, 2024 Accepting new patients
SHC Owner LLC Diagnostic Radiology CurrentSince Dec 20, 2023 Accepting new patients
Medical Imaging Center of Ocala LLP Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Doctors Center Hospital San Juan CurrentSince Dec 20, 2023 Accepting new patients
Timberridge Imaging Center Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Hospitalist Medical Services, PSC Vascular & Interventional Radiology CurrentSince Jul 1, 2024 Accepting new patients
Doctors Center Hospital Inc CurrentSince Dec 20, 2023 Accepting new patients
St. Thomas Radiology Associates, LLC Diagnostic Radiology Past Accepting new patients
Medical Imaging Center of Ocala LLP Diagnostic Radiology PastSince Feb 11, 2024 Accepting new patients

Locations

1673 Mason Ave
Ste 305
Daytona Beach, FL 32117
Phone 3862747118 ext. 7704

2105 Highway 44 W
Inverness, FL 34453
Phone (352) 419-4818

2300 SE 17th St
Ste 800
Ocala, FL 34471
Phone (352) 690-8403

1490 SE Magnolia Ext
Ocala, FL 34471
Phone (352) 512-9703

9521 SW Highway 200
Ocala, FL 34481
Phone (352) 351-7500

1041 Dunlawton Ave
Pt Orange, FL 32127
Phone (386) 322-4700

1395 Calle San Rafael
#20
Santurce, PR 00909
Phone 78785433221191

9048 Sugar Est
St Thomas, VI 00802
Phone (340) 693-6211

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1124417571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7047 21ST ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024851",
            "telephone_number": "787-461-6681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 PR-696",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646",
            "telephone_number": "787-625-5050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7047 21st St N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337024851",
            "country_code": "US",
            "telephone_number": "787-461-6681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAGAN",
        "first_name": "BRANDON",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-22",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PR",
            "license": "19771",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "19771",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "10784",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorado, PR

Sources for this page

Verify at the official NPI Registry.