NPIMap

Organization Active NPI

Conch Republic Anesthesia, LLC

  • Anesthesiology Physician
  • Key West, FL
National Provider Identifier
1932408705
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
OS 9660 Issued in FL
Legal business name
CONCH REPUBLIC ANESTHESIA, LLC
Practice address
931 Toppino Dr
Key West, FL 33040-4269
Phone
(305) 453-6521
NPI assigned
Mar 19, 2011
Last updated
Mar 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Authorized official

Name
Dr. Patrick J Bruscia, D.O.
Title
Owner
Phone
(305) 453-6521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X OS 9660 FL Primary

Addresses

Primary practice location

931 Toppino Dr
Key West, FL 33040-4269

Mailing address

1107 Key PLZ # 289
Key West, FL 33040-4077
Phone (305) 453-6521

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1300492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1932408705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 KEY PLZ # 289",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404077",
            "telephone_number": "305-453-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 TOPPINO DR",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404269",
            "telephone_number": "305-453-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCH REPUBLIC ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-19",
        "last_updated": "2014-03-25",
        "status": "A",
        "authorized_official_last_name": "BRUSCIA",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-453-6521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "OS 9660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Key West, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; 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.