Active NPI
Bryan Carducci, MD
- Emergency Medicine Physician
- Clearwater, FL
National Provider Identifier
1669582797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 96-01260
- 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, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 96-01260 | NC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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 | Past | Accepting new patients |
| North Carolina Em I Medical Services P C | Past | Accepting new patients | |
| Virginia Em-I Medical Services PC | Past | 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.
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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.