Cardiology II, P.C.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

5101008849 Issued in MI

Legal business name

CARDIOLOGY II, P.C.

Practice address

950 Blue Star Memorial Hwy
Suite 1
South Haven, MI 49090-7335

Phone

(269) 637-1388

Fax

(269) 637-1459

NPI assigned

Nov 3, 2006

Organization subpart

No

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

Authorized official

Name

Bradley D Bastow, D.O.NPI 1346221082

Title

President

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": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861571747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 BLUE STAR MEMORIAL HWY",
            "address_2": "SUITE 1",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490907335",
            "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 MEMORIAL HWY",
            "address_2": "SUITE 1",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490907335",
            "telephone_number": "269-637-1388",
            "fax_number": "269-637-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOLOGY II, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BASTOW",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "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": []
}

• Joyce Burns
• Deisy Calderon
• Jessica Calderon
• Sue Killion Cammarata, M.D.
• Card Prop Corp
• Holly Carrizales, CNP
• Allan D Caudill, MD
• Ian Laurence Clark, MD
• Hailey Conklin, LMSW
• Emmett Dewayne Cosgrove, OD

• 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 Aug 22, 2020; 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.