Active NPI
Richard Gerard Bilodeau, MD
- Diagnostic Radiology Physician
- Bradenton, FL
National Provider Identifier
1285657619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME88728
- Practice address
- 206 2ND Street East
Bradenton, FL 34208-1042 - Phone
- (941) 955-4101
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME88728 | FL | Primary |
Addresses
Primary practice location
206 2ND Street East
Bradenton, FL 34208-1042
Mailing address
8374 Market Street
Box 502
Lakewood Ranch, FL 34202-5137
Phone (941) 955-4101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000524200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME88728 | FL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Irvington Radiologists PC | Diagnostic Radiology | Past | Accepting new patients |
| Lakewood Ranch Imaging Center | Past | Accepting new patients | |
| Community Health Network, Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Body Imaging Physician
- Bradenton, FL
- NPI 1104839737
-
dba Community Health Network Specialty Pharmacy
- Community/Retail Pharmacy
- Indianapolis, IN
- NPI 1669951471
-
- Diagnostic Radiology Physician
- Indianapolis, IN
- NPI 1720030034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295913600000",
"number": "1285657619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8374 MARKET STREET",
"address_2": "BOX 502",
"city": "LAKEWOOD RANCH",
"state": "FL",
"postal_code": "342025137",
"telephone_number": "941-955-4101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 2ND STREET EAST",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342081042",
"telephone_number": "941-955-4101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BILODEAU",
"first_name": "RICHARD",
"middle_name": "GERARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2011-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME88728",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000524200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
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 Jan 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.