NPIMap

Individual provider Active NPI

Michael J Foley, MD

  • Diagnostic Neuroimaging (Radiology) Physician
  • Brandon, FL
National Provider Identifier
1700094703
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Neuroimaging (Radiology) PhysicianTaxonomy code 2085D0003X
License
ME0041845 Issued in FL
Practice address
3350 Bell Shoals Rd
Brandon, FL 33511-7637
Phone
(813) 654-4883
NPI assigned
May 21, 2007
Last updated
Aug 28, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X ME 41845 FL
Nuclear Imaging & Therapy Physician 207UN0902X ME 41845 FL
Diagnostic Radiology Physician 2085R0202X MR 41845 FL
Diagnostic Neuroimaging (Radiology) Physician 2085D0003X ME0041845 FL Primary

Addresses

Primary practice location

3350 Bell Shoals Rd
Brandon, FL 33511-7637

Mailing address

11300 4TH St N
Ste 140
St Petersburg, FL 33716-2918
Phone (727) 578-3818

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
ME 41845FLMDNuclear Imaging & Therapy Physician
ME0041845FLMDDiagnostic Neuroimaging (Radiology) Physician
MR 41845FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mori Bean and Brooks Inc Diagnostic Neuroimaging Past Accepting new patients
North Tampa Imaging LLC Past Accepting new patients
North Tampa Imaging LLC Diagnostic Radiology Past Accepting new patients
Tower Imaging LLC Nuclear Medicine Past Accepting new patients
Southwest Florida Emergency Management LLC Past Accepting new patients
Team Radiology Physicians, PA Diagnostic Radiology Past Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1700094703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 4TH ST N",
            "address_2": "STE 140",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337162918",
            "telephone_number": "727-578-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 BELL SHOALS RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335117637",
            "telephone_number": "813-654-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLEY",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "FL",
            "license": "ME 41845",
            "primary": false
        },
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "FL",
            "license": "ME 41845",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "MR 41845",
            "primary": false
        },
        {
            "code": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": "FL",
            "license": "ME0041845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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.