NPIMap

Organization Active NPI

Axcess Diagnostics Bradenton LLC

  • Diagnostic Radiology Physician
  • Bradenton, FL
National Provider Identifier
1407894744
Registry record updated Oct 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
AXCESS DIAGNOSTICS BRADENTON LLC
Practice address
5101 4TH Avenue Cir E
Suite 100
Bradenton, FL 34208-5630
Phone
(941) 782-0414
Fax
(941) 782-0418
NPI assigned
Jun 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2008

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

Authorized official

Name
Dr. Stephen M. Miley, M.D.NPI 1689808016
Title
Managing Director
Phone
(713) 526-5771

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

5101 4TH Avenue Cir E
Suite 100
Bradenton, FL 34208-5630

Mailing address

PO Box 447
Venice, FL 34284-0447
Phone (941) 488-5791

Other identifiers 1

IdentifierTypeStateIssuer
277996000MedicaidFL

National Provider Directory

National Provider Directory

Locations

5101 4th Avenue Cir E
Ste 100
Bradenton, FL 34208
Phone (941) 782-0414

Practitioners & affiliated clinicians

Practitioners 6

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": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223596800000",
    "number": "1407894744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 447",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342840447",
            "telephone_number": "941-488-5791",
            "fax_number": "941-377-7975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 4TH AVENUE CIR E",
            "address_2": "SUITE 100",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342085630",
            "telephone_number": "941-782-0414",
            "fax_number": "941-782-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXCESS DIAGNOSTICS BRADENTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2008-10-10",
        "status": "A",
        "authorized_official_last_name": "MILEY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "713-526-5771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277996000",
            "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 Oct 10, 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.