Organization Active NPI

Bja Incorporated

  • Sleep Disorder Diagnostic Clinic/Center
  • Bradenton, FL
National Provider Identifier
1154566735
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
BJA INCORPORATED
Practice address
7005 Cortez Rd W
101
Bradenton, FL 34210-2509
Phone
(978) 536-7400
NPI assigned
Dec 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2012

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

Authorized official

Name
Carl R Iberger
Title
Cfo
Phone
(978) 536-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

7005 Cortez Rd W
101
Bradenton, FL 34210-2509

Mailing address

200 Corporate PL
Suite 5B
Peabody, MA 01960-3840
Phone (978) 536-7400

Other identifiers 1

IdentifierTypeStateIssuer
V004VOtherFLBLUE CROSS

Other names 1

  • Comprehensive Sleep Disorder Center Doing business as

National Provider Directory

National Provider Directory

Locations

851 Douglas Ave
Ste 101
Altamonte Springs, FL 32714
Phone (407) 834-1023

851 Douglas Ave
Ste 120
Altamonte Springs, FL 32714
Phone (407) 834-1023

7005 Cortez Rd W
#101
Bradenton, FL 34210

2710 N Orange Ave
Ste A
Orlando, FL 32804
Phone (407) 894-9909

Practitioners & affiliated clinicians

Practitioners 1

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": "1228867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343174400000",
    "number": "1154566735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE PL",
            "address_2": "SUITE 5B",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019603840",
            "telephone_number": "978-536-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7005 CORTEZ RD W",
            "address_2": "101",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342102509",
            "telephone_number": "978-536-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BJA INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-10",
        "last_updated": "2012-07-25",
        "status": "A",
        "authorized_official_last_name": "IBERGER",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "978-536-7400"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "V004V",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Sleep Disorder Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; 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.