Kevin S Schroeder, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME0056356 Issued in FL

Practice address

2020 59TH Street West
Blake Medical Center
Bradenton, FL 34209

Phone

(941) 792-6611

NPI assigned

May 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• Presgar Imaging of Rockledge LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Rockledge, FL
  • NPI 1225015357
  Medicare reassignment NPD
• Simonmed Imaging Florida LLC

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1477830818
  Medicare reassignment NPD
• Presgar Imaging of Rockledge LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Melbourne, FL
  • NPI 1558348680

  Diagnostic Radiology

  NPD

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274054400000",
    "number": "1689620809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 40TH STREET WEST",
            "address_2": "C/O STOUTAMYER STRATOS SCHROEDER WHALEY RIZZO & ASSO MD",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34205",
            "telephone_number": "941-749-5464",
            "fax_number": "941-747-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 59TH STREET WEST",
            "address_2": "BLAKE MEDICAL CENTER",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34209",
            "telephone_number": "941-792-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "KEVIN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2010-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME0056356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "300013482",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061651600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Schofield
• Reagan Bock Schoppelrey, MSN, APRN, FNP-C
• Mackenzie Schott
• Arabelle Schrock
• Anne Schroeder, RPH
• Karla Kennerley Schuchmann, SLP
• Katelin Schulte
• Tiffany Ann Schultz, LMHC
• Brian Joseph Schutzbach, MD
• Reid Warren Schwabach, LMHC

• Diagnostic Radiology Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.