Individual provider Active NPI

Alan Jay Helrich, MD

  • Diagnostic Radiology Physician
  • Myakka City, FL
National Provider Identifier
1619960390
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
026547 Issued in GA
Practice address
27325 Brandiff Rd
Myakka City, FL 34251-1905
Phone
(941) 209-2821
NPI assigned
Aug 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 026547 GA Primary

Addresses

Primary practice location

27325 Brandiff Rd
Myakka City, FL 34251-1905

Mailing address

27325 Brandiff Rd
Myakka City, FL 34251-1905
Phone (941) 209-2821

Other identifiers 2

IdentifierTypeStateIssuer
000335398DMedicaidGA
393739OtherBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
026547GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Radiological Associates of Decatur Diagnostic Radiology Past Accepting new patients
Sunshine Radiology LLC Diagnostic Radiology Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454630400000",
    "number": "1619960390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27325 BRANDIFF RD",
            "city": "MYAKKA CITY",
            "state": "FL",
            "postal_code": "342511905",
            "telephone_number": "941-209-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27325 BRANDIFF RD",
            "city": "MYAKKA CITY",
            "state": "FL",
            "postal_code": "342511905",
            "telephone_number": "941-209-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELRICH",
        "first_name": "ALAN",
        "middle_name": "JAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2016-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "026547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000335398D",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "393739",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Myakka City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; 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.