Organization Active NPI

Two Rivers Diagnostic Center Inc

  • Radiology Clinic/Center
  • Bradenton, FL
National Provider Identifier
1912931924
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
HCC6008 Issued in FL
Legal business name
TWO RIVERS DIAGNOSTIC CENTER INC
Practice address
2810 Manatee Ave E
Bradenton, FL 34208-1828
Phone
(941) 827-0051
Fax
(941) 827-0057
NPI assigned
Jul 10, 2006
Last updated
Jan 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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

Authorized official

Name
Mrs. Barbara Simon
Title
Vice President
Phone
(941) 827-0051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X HCC6008 FL Primary

Addresses

Primary practice location

2810 Manatee Ave E
Bradenton, FL 34208-1828

Mailing address

2810 Manatee Ave E
Bradenton, FL 34208-1828
Phone (941) 827-0051

Other identifiers 2

IdentifierTypeStateIssuer
7572667OtherFLAETNA PROVIDER NUMBER
V2926OtherFLBCBS PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

2810 Manatee Ave E
Bradenton, FL 34208
Phone (941) 226-0206

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1912931924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 MANATEE AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081828",
            "telephone_number": "941-827-0051",
            "fax_number": "941-827-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 MANATEE AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081828",
            "telephone_number": "941-827-0051",
            "fax_number": "941-827-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWO RIVERS DIAGNOSTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "941-827-0051",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "FL",
            "license": "HCC6008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "7572667",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "V2926",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.