Bloomingdale Radiology Corp

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

HCC3759 Issued in FL

Legal business name

BLOOMINGDALE RADIOLOGY CORP

Doing business as

Bloomingdale Radiology Center

Practice address

3350 Bell Shoals Rd
Brandon, FL 33511-7637

Phone

(813) 654-4883

Fax

(813) 676-0339

NPI assigned

Jun 2, 2006

Last updated

Aug 22, 2020By 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

Thomas G Winter

Title

President

Phone

(772) 463-8256

Specialties & licenses 1

Addresses

Other names 1

• BLOOMINGDALE RADIOLOGY CENTER Doing business as

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.

• Richard R Six, MD

  • Diagnostic Radiology Physician
  • Brandon, FL
  • NPI 1235181777
  NPD (past)

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467499863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 931083",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311931083",
            "telephone_number": "772-600-0324",
            "fax_number": "772-600-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 BELL SHOALS RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335117637",
            "telephone_number": "813-654-4883",
            "fax_number": "813-676-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMINGDALE RADIOLOGY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WINTER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-463-8256"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "FL",
            "license": "HCC3759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLOOMINGDALE RADIOLOGY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anna Veldkamp Blevins
• Holly Blickenstaff, PA-C
• Wayne S. Blocker, M.D.
• Kaylin Bloomer
• Bloomingdale Eye Care Inc
• Shawn Blouin, DNP, ARNP, AGACNP-BC
• Christopher Blount
• Kristina V Blum, PHARM.D
• Jason Brian Blundell, DDS
• Deepali Ajitkumar Bobra, M.D.

• Radiology Clinic/Center in Brandon, FL
• Providers in Brandon, FL by specialty
• Radiology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.