Bradenton Resources Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

HCC3686 Issued in FL

Legal business name

BRADENTON RESOURCES INC

Practice address

201 2ND St E
Bradenton, FL 34208-1030

Phone

(941) 746-4148

Fax

(941) 746-3658

NPI assigned

Aug 30, 2005

Organization subpart

No

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

Authorized official

Name

Cindy Mastice

Title

Director of Managed Care

Phone

(973) 983-9950

Specialties & licenses 1

Addresses

Other names 1

• Magnetic Imaging Center of Manatee Doing business as

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922091529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 BROAD ST",
            "address_2": "4TH FLOOR",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033003",
            "telephone_number": "973-707-1100",
            "fax_number": "973-707-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 2ND ST E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081030",
            "telephone_number": "941-746-4148",
            "fax_number": "941-746-3658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADENTON RESOURCES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASTICE",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "DIRECTOR OF MANAGED CARE",
        "authorized_official_telephone_number": "973-983-9950"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "HCC3686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnetic Imaging Center of Manatee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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.