Bardmoor Cancer Center LLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

BARDMOOR CANCER CENTER LLC

Practice address

8787 Bryan Dairy Rd
Suite 120
Largo, FL 33777-1251

Phone

(727) 320-0200

NPI assigned

Jun 24, 2006

Last updated

Jan 28, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Martin C. Harlan

Title

Evp, Cfo

Phone

(615) 252-7202

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Bardmoor Cancer Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bardmoor Cancer Center LLC

  • Radiation Oncology Physician
  • Clearwater, FL
  • NPI 1467251454
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Bardmoor Cancer Center LLC

  • Radiation Oncology Physician
  • Clearwater, FL
  • NPI 1467251454
  NPPES parent name

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Edmund Thompson, D.O.

  • Therapeutic Radiology Physician
  • Lake City, FL
  • NPI 1487646030

  Radiation Oncology

  Medicare reassignment NPD
• Kevin Seth Tralins, MD

  • Radiation Oncology Physician
  • Largo, FL
  • NPI 1598711392
  Medicare reassignment NPD
• Robin Gail Hoekstra, LMT, CLT

  • Contractor
  • Largo, FL
  • NPI 1437376589
  NPD (past)
• Geraldine M Jacobson, MD

  • Radiation Oncology Physician
  • Tampa, FL
  • NPI 1164423232
  NPD (past)
• Timothy L. Kerwin, MD

  • Radiation Oncology Physician
  • Naples, FL
  • NPI 1346309085
  NPD (past)
• Alan Harvey Tralins, MD

  • Radiation Oncology Physician
  • Largo, FL
  • NPI 1053342899
  NPD (past)

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1811923386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WOODMONT BLVD STE 500",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052245",
            "telephone_number": "888-802-9885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8787 BRYAN DAIRY RD",
            "address_2": "SUITE 120",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337771251",
            "telephone_number": "727-320-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3155 N McMullen Booth Rd",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337612008",
            "country_code": "US",
            "telephone_number": "727-320-0200",
            "fax_number": "727-394-8934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BARDMOOR CANCER CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "HARLAN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "EVP, CFO",
        "authorized_official_telephone_number": "615-252-7202"
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Bandoni
• Riad K. Bankusli, MD
• Catherine M Barber, PA-C
• Jalonne Barber
• Tiffany Barber, APRN
• Bardmoor Chiropractic Center Inc (Florida Health and Wellness Centers)
• Bardmoor Surgery Center LLC (Bardmoor Surgery Center)
• Paul Barger, MA LMHC
• Steven Michael Barker
• Nicole Barkley

• Radiation Oncology Physician in Largo, FL
• Providers in Largo, FL by specialty
• Radiation Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.