Individual provider Active NPI

Bruce Duane Arnold, R.T.

  • Radiologic Technologist
  • New Port Richey, FL
National Provider Identifier
1861663700
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
License
CRT 52970 Issued in FL
Practice address
5750 Fall River Dr
New Port Richey, FL 34655-1114
Phone
(727) 375-9323
Fax
(727) 376-7376
NPI assigned
Mar 19, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic Technologist 247100000X CRT 52970 FL Primary

Addresses

Primary practice location

5750 Fall River Dr
New Port Richey, FL 34655-1114

Mailing address

5750 Fall River Dr
New Port Richey, FL 34655-1114
Phone (727) 375-9323

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CRT 52970FLMDRadiologic Technologist

NPI Registry JSON

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1861663700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 FALL RIVER DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346551114",
            "telephone_number": "727-375-9323",
            "fax_number": "727-376-7376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 FALL RIVER DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346551114",
            "telephone_number": "727-375-9323",
            "fax_number": "727-376-7376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "BRUCE",
        "middle_name": "DUANE",
        "credential": "R.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "FL",
            "license": "CRT 52970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.