Organization Active NPI

Robert C. Bianco, MD, PA

  • Cardiovascular Disease Physician
  • Palm Coast, FL
National Provider Identifier
1275727737
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME0057906 Issued in FL
Legal business name
ROBERT C. BIANCO, MD, PA
Practice address
14 Office Park Dr
Suite 1
Palm Coast, FL 32137-3864
Phone
(386) 446-2305
Fax
(386) 446-1043
NPI assigned
Aug 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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

Authorized official

Name
Pamela Bianco, RN
Title
Manager
Phone
(386) 446-2305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X ME0057906 FL Primary

Addresses

Primary practice location

14 Office Park Dr
Suite 1
Palm Coast, FL 32137-3864

Mailing address

14 Office Park Dr
Suite 1
Palm Coast, FL 32137-3864
Phone (386) 446-2305

Other identifiers 1

IdentifierTypeStateIssuer
10569OtherGUBCBS OF FLORIDA

National Provider Directory

National Provider Directory

Locations

14 Office Park Dr
Ste 1
Palm Coast, FL 32137
Phone (386) 446-2305

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1275727737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 OFFICE PARK DR",
            "address_2": "SUITE 1",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373864",
            "telephone_number": "386-446-2305",
            "fax_number": "386-446-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 OFFICE PARK DR",
            "address_2": "SUITE 1",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373864",
            "telephone_number": "386-446-2305",
            "fax_number": "386-446-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT C. BIANCO, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "BIANCO",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "386-446-2305",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME0057906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "10569",
            "state": "GU"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.