Active NPI
Icare
Doing business as Icare Radiology, LLC
- Diagnostic Radiology Physician
- Port St Lucie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- OS10788
- Legal business name
- ICARE
- Doing business as
- Icare Radiology, LLC
- Practice address
- 451 SW Bethany Dr
Suite #102
Port St Lucie, FL 34986-1964 - Phone
- (772) 202-2734
- Fax
- (772) 249-5230
- NPI assigned
- Oct 3, 2012
- Last updated
- Jul 15, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eliot Budnick, D.O.
- Title
- Ceo
- Phone
- (772) 202-2734
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | OS10788 | FL | Primary |
Addresses
Primary practice location
451 SW Bethany Dr
Suite #102
Port St Lucie, FL 34986-1964
Mailing address
451 SW Bethany Dr
Suite #102
Port St Lucie, FL 34986-1964
Phone (772) 202-2734
Other names 1
- ICARE RADIOLOGY, LLC
National Provider Directory
National Provider DirectoryLocations
451 SW Bethany Dr
Ste 102
Port St Lucie, FL 34986
Phone (772) 202-2734
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Diagnostic Radiology Physician
- Port St Lucie, FL
- NPI 1982857363
-
- Diagnostic Radiology Physician
- Dallas, TX
- NPI 1053641746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349222400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657843200000",
"number": "1619229473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 SW BETHANY DR",
"address_2": "SUITE #102",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349861964",
"telephone_number": "772-202-2734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 SW BETHANY DR",
"address_2": "SUITE #102",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349861964",
"telephone_number": "772-202-2734",
"fax_number": "772-249-5230"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ICARE",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-03",
"last_updated": "2022-07-15",
"certification_date": "2022-07-15",
"status": "A",
"authorized_official_last_name": "BUDNICK",
"authorized_official_first_name": "ELIOT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "772-202-2734",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "OS10788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ICARE RADIOLOGY, LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "ICARE RADIOLOGY, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.