Organization Active NPI

Chad G Kelman MD PA

  • Diagnostic Radiology Physician
  • Boca Raton, FL
National Provider Identifier
1669655718
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
77952 Issued in FL
Legal business name
CHAD G KELMAN MD PA
Practice address
5032 NW 24TH Cir
Boca Raton, FL 33431-4330
Phone
(561) 414-5892
Fax
(561) 994-2559
NPI assigned
Dec 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Authorized official

Name
Chad G Kelman, M.D.
Title
President/Owner
Phone
5615614145892

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 77952 FL Primary

Addresses

Primary practice location

5032 NW 24TH Cir
Boca Raton, FL 33431-4330

Mailing address

5032 NW 24TH Cir
Boca Raton, FL 33431-4330
Phone (561) 414-5892

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1669655718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5032 NW 24TH CIR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314330",
            "telephone_number": "561-414-5892",
            "fax_number": "561-994-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5032 NW 24TH CIR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314330",
            "telephone_number": "561-414-5892",
            "fax_number": "561-994-2559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAD G KELMAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "KELMAN",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "5615614145892",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "77952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.