Active NPI
Randy W Love, CST/CFA
- Surgical Assistant
- Bradenton, FL
National Provider Identifier
1346540382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- Practice address
- 4004 14TH Ave E
Bradenton, FL 34208-9013 - Phone
- (941) 951-9767
- Fax
- (760) 731-0414
- NPI assigned
- Oct 25, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | Primary | ||
| Surgical Technologist | 246ZS0410X |
Addresses
Primary practice location
4004 14TH Ave E
Bradenton, FL 34208-9013
Mailing address
4004 14TH Ave E
Bradenton, FL 34208-9013
Phone (941) 951-9767
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287964800000",
"number": "1346540382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4004 14TH AVE E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342089013",
"telephone_number": "941-951-9767",
"fax_number": "760-731-0414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4004 14TH AVE E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342089013",
"telephone_number": "941-951-9767",
"fax_number": "760-731-0414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVE",
"first_name": "RANDY",
"middle_name": "W",
"credential": "CST/CFA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-25",
"last_updated": "2010-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": null,
"license": null,
"primary": true
},
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 Oct 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.