Organization Active NPI

Alvaro R. Bada, M.D., P.a.

  • Surgery Physician
  • Port Charlotte, FL
National Provider Identifier
1265861264
Registry record updated Nov 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
39970 Issued in FL
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2013

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

Authorized official

Name
Alvaro R Bada, M.D.NPI 1023074911
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
043820100MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.