Organization Active NPI

Suncoast Imaging Partners

Doing business as Community Diagnostic of Brandon

  • Radiology Clinic/Center
  • Brandon, FL
National Provider Identifier
1467448639
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
ME73819 Issued in FL
Legal business name
SUNCOAST IMAGING PARTNERS
Doing business as
Community Diagnostic of Brandon
Practice address
500 Vonderburg Dr
Ste 111
Brandon, FL 33511-5964
Phone
(813) 496-1075
NPI assigned
Sep 23, 2005
Last updated
Apr 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Authorized official

Name
Paul Velt, MD
Title
Owner
Phone
(813) 496-1075

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME73819 FL
Radiology Clinic/Center 261QR0200X ME73819 FL Primary

Addresses

Primary practice location

500 Vonderburg Dr
Ste 111
Brandon, FL 33511-5964

Mailing address

4519 George Rd
Ste. 100
Tampa, FL 33634-7329
Phone (813) 496-1075

Other names 1

  • Community Diagnostic of Brandon Doing business as

National Provider Directory

National Provider Directory

Locations

55 Ponce de Leon Blvd
Brooksville, FL 34601
Phone (352) 666-2427

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1467448639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4519 GEORGE RD",
            "address_2": "STE. 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336347329",
            "telephone_number": "813-496-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 VONDERBURG DR",
            "address_2": "STE 111",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115964",
            "telephone_number": "813-496-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST IMAGING PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "VELT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-496-1075",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME73819",
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "FL",
            "license": "ME73819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Diagnostic of Brandon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.