Active NPI
Andrew K Greenfield, MD
- Diagnostic Radiology Physician
- Riverview, FL
National Provider Identifier
1487640405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME73293
- Practice address
- 12310 Bramfield Dr
Riverview, FL 33579-7768 - Phone
- (813) 671-6004
- NPI assigned
- Sep 26, 2005
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME73293 | FL | Primary |
| General Practice Physician | 208D00000X | ME-0073293 | FL |
Addresses
Primary practice location
12310 Bramfield Dr
Riverview, FL 33579-7768
Mailing address
12310 Bramfield Dr
Riverview, FL 33579-7768
Phone (813) 671-6004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME73293 | FL | MD | Diagnostic Radiology Physician |
| ME-0073293 | FL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Diagnostic Institute LTD | Diagnostic Radiology | Current | Accepting new patients |
| Shands Teaching Hospital and Clinics Inc | Past | Accepting new patients | |
| Global Imaging Specialists, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Donald E. Cornforth, MD, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Advanced Imaging of Port Charlotte | Diagnostic Radiology | Past | Accepting new patients |
Locations
3301 Usf Alumni Dr
Tampa, FL 33612
Phone (813) 972-3351
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Radiology Clinic/Center
- Tampa, FL
- NPI 1326021346
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Port Charlotte, FL
- NPI 1225361850
-
- Diagnostic Radiology Physician
- Tarpon Springs, FL
- NPI 1295171643
-
- Pharmacy
- Gainesville, FL
- NPI 1497645915
-
- Diagnostic Radiology Physician
- Bakersfield, CA
- NPI 1477589976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430438400000",
"number": "1487640405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12310 BRAMFIELD DR",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335797768",
"telephone_number": "813-671-6004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12310 BRAMFIELD DR",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335797768",
"telephone_number": "813-671-6004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENFIELD",
"first_name": "ANDREW",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-26",
"last_updated": "2015-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME73293",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME-0073293",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.