Active NPI
Alvaro R. Bada, M.D., P.a.
- Surgery Physician
- Port Charlotte, FL
National Provider Identifier
1265861264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 39970
- Legal business name
- ALVARO R. BADA, M.D., P.A.
- Practice address
- 18308 Murdock Cir Unit 101
Port Charlotte, FL 33948-1025 - Phone
- (941) 255-0069
- Fax
- (941) 255-0072
- NPI assigned
- Nov 11, 2013
- Last updated
- Nov 11, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alvaro R Bada, M.D.
- Title
- Owner
- Phone
- (941) 255-0069
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 39970 | FL | Primary |
Addresses
Primary practice location
18308 Murdock Cir Unit 101
Port Charlotte, FL 33948-1025
Mailing address
18308 Murdock Cir Unit 101
Port Charlotte, FL 33948-1025
Phone (941) 255-0069
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 043820100 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Surgery Physician
- Port Charlotte, FL
- NPI 1023074911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384128000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1384128000000",
"number": "1265861264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18308 MURDOCK CIR UNIT 101",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339481025",
"telephone_number": "941-255-0069",
"fax_number": "941-255-0072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18308 MURDOCK CIR UNIT 101",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339481025",
"telephone_number": "941-255-0069",
"fax_number": "941-255-0072"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALVARO R. BADA, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-11",
"last_updated": "2013-11-11",
"status": "A",
"authorized_official_last_name": "BADA",
"authorized_official_first_name": "ALVARO",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "941-255-0069",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "39970",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "043820100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.