Bradenton Heart Center P a

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME0059046 Issued in FL

Legal business name

BRADENTON HEART CENTER P A

Practice address

2010 59TH St W
Suite 4200
Bradenton, FL 34209-4616

Phone

(941) 794-3999

Fax

(941) 792-4048

NPI assigned

Jul 26, 2006

Last updated

Dec 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Raj T Rajan, M.D.NPI 1114971025

Title

Owner

Phone

(941) 794-3999

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Raj T Rajan, M.D.

  • Cardiovascular Disease Physician
  • Bradenton, FL
  • NPI 1114971025
  Authorized official Same address or phone

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228953600000",
    "number": "1356364525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 59TH ST W",
            "address_2": "SUITE 4200",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342094616",
            "telephone_number": "941-794-3999",
            "fax_number": "941-792-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 59TH ST W",
            "address_2": "SUITE 4200",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342094616",
            "telephone_number": "941-794-3999",
            "fax_number": "941-792-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADENTON HEART CENTER P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2008-12-11",
        "status": "A",
        "authorized_official_last_name": "RAJAN",
        "authorized_official_first_name": "RAJ",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-794-3999",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME0059046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD CARRIER",
            "identifier": "DH2049",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375960100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bradenton Eye Clinic Inc
• Bradenton Gastroenterology PA
• Bradenton Geriatrics LLC
• Bradenton Health Care Associates LLC (Bradenton Health Care)
• Bradenton Healthcare Investors LLC
• Bradenton Homecare Services LLC (Hallmark Homecare)
• Bradenton Internal Medicine PA
• Bradenton Missionary Village, Inc
• Bradenton Neurology Inc
• Bradenton Oaks, LLC

• Cardiovascular Disease Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; 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.