Organization Active NPI

Advanced Colon and Rectal Surgery LLC

  • Colon & Rectal Surgery Physician
  • Melville, NY
National Provider Identifier
1710023031
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
Legal business name
ADVANCED COLON AND RECTAL SURGERY LLC
Practice address
510 Broadhollow Road
Suite 307
Melville, NY 11747-3710
Phone
(631) 756-2888
Fax
(631) 756-2880
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Authorized official

Name
Bradley G Bute, MD
Title
President Physician
Phone
(631) 756-2888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208C00000X Primary

Addresses

Primary practice location

510 Broadhollow Road
Suite 307
Melville, NY 11747-3710

Mailing address

510 Broadhollow Road
Suite 307
Melville, NY 11747-3710
Phone (631) 756-2888

National Provider Directory

National Provider Directory

Locations

160 Commack Rd
Ste M2
Commack, NY 11725
Phone (631) 462-2040

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1710023031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 BROADHOLLOW ROAD",
            "address_2": "SUITE 307",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473710",
            "telephone_number": "631-756-2888",
            "fax_number": "631-756-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 BROADHOLLOW ROAD",
            "address_2": "SUITE 307",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473710",
            "telephone_number": "631-756-2888",
            "fax_number": "631-756-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED COLON AND RECTAL SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "BUTE",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT PHYSICIAN",
        "authorized_official_telephone_number": "631-756-2888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.