Card Prop Corp

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

5101008849 Issued in MI

Legal business name

CARD PROP CORP

Practice address

950 Blue Star Hwy
Suite 1-2
South Haven, MI 49090-7759

Phone

(269) 637-1388

Fax

(269) 637-1459

NPI assigned

Dec 19, 2011

Organization subpart

No

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

Authorized official

Name

Bradley Bastow, D.O.NPI 1346221082

Title

Presiden

Phone

(269) 637-1388

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bradley D Bastow, D.O.

  • Cardiovascular Disease Physician
  • South Haven, MI
  • NPI 1346221082
  NPD (past) Authorized official

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339113600000",
    "number": "1740559871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 BLUE STAR HWY",
            "address_2": "SUITE 1-2",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490907759",
            "telephone_number": "269-637-1388",
            "fax_number": "269-637-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 BLUE STAR HWY",
            "address_2": "SUITE 1-2",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490907759",
            "telephone_number": "269-637-1388",
            "fax_number": "269-637-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARD PROP CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-19",
        "last_updated": "2012-06-08",
        "status": "A",
        "authorized_official_last_name": "BASTOW",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "PRESIDEN",
        "authorized_official_telephone_number": "269-637-1388",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "5101008849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bumble Bee Transportation LLC
• Joyce Burns
• Deisy Calderon
• Jessica Calderon
• Sue Killion Cammarata, M.D.
• Cardiology II, P.C.
• Holly Carrizales, CNP
• Allan D Caudill, MD
• Ian Laurence Clark, MD
• Hailey Conklin, LMSW

• Cardiovascular Disease Physician in South Haven, MI
• Providers in South Haven, MI by specialty
• Cardiovascular Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; 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.