Individual provider Active NPI

Bryan Carducci, MD

  • Emergency Medicine Physician
  • Clearwater, FL
National Provider Identifier
1669582797
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
96-01260 Issued in NC
Practice address
18167 US Highway 19 N
Suite 285
Clearwater, FL 33764-3528
Phone
(919) 782-0479
NPI assigned
Aug 30, 2006
Last updated
Mar 26, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 96-01260 NC Primary

Addresses

Primary practice location

18167 US Highway 19 N
Suite 285
Clearwater, FL 33764-3528

Mailing address

PO Box 32003
Raleigh, NC 27622-2003
Phone (919) 782-0479

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
96-01260NCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Em-I Medical Services PC Past Accepting new patients
Missouri Em-I Medical Services, P.C. Emergency Medicine Past Accepting new patients
Laurel Mill Emergency Physicians Emergency Medicine PastSince Nov 1, 2007 Accepting new patients
North Carolina Em I Medical Services P C Past Accepting new patients
Virginia Em-I Medical Services PC PastSince Nov 12, 2013 Accepting new patients
Blue & Grey Emergency Physicians LLC Emergency Medicine Past Accepting new patients
VA-I Medical Services PC Past Accepting new patients
Alamance Regional Medical Center, Inc. Past Accepting new patients
North Carolina Em-I Medical Services PC Past Accepting new patients
Ehra Medical Services of Virginia, PC Emergency Medicine Past Accepting new patients
Neuse River Emergency Physicians Emergency Medicine Past Accepting new patients
Fox Mountain Emergency Physicians Emergency Medicine Past Accepting new patients
Solomon Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Waterway Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Little Blue Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Alamance Regional Medical Center, Inc Past Accepting new patients
TN-I Medical Services PC Past Accepting new patients

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1669582797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32003",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276222003",
            "telephone_number": "919-782-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18167 US HIGHWAY 19 N",
            "address_2": "SUITE 285",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337643528",
            "telephone_number": "919-782-0479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDUCCI",
        "first_name": "BRYAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "96-01260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.