Active NPI
Florence J Heimberg, MD
- Diagnostic Radiology Physician
- Bradenton, FL
National Provider Identifier
1962458166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME0041255
- Practice address
- 2020 59TH St West
Blake Medical Center
Bradenton, FL 34209 - Phone
- (941) 792-6611
- NPI assigned
- May 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME0041255 | FL | Primary |
Addresses
Primary practice location
2020 59TH St West
Blake Medical Center
Bradenton, FL 34209
Mailing address
804 40TH St West
Stoutamyer-Stratos-Schroeder-Whaley-Rizzo & Assoc MD PA
Bradenton, FL 34205
Phone (941) 749-5464
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046494500 | Medicaid | FL | |
| 300085370 | Other | FL | RAIL ROAD MEDICARE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0041255 | FL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Team Radiology Physicians, PA | Diagnostic Radiology | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Knoxville, TN
- NPI 1932133675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274054400000",
"number": "1962458166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 40TH ST WEST",
"address_2": "STOUTAMYER-STRATOS-SCHROEDER-WHALEY-RIZZO & ASSOC MD PA",
"city": "BRADENTON",
"state": "FL",
"postal_code": "34205",
"telephone_number": "941-749-5464",
"fax_number": "941-747-1815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 59TH ST WEST",
"address_2": "BLAKE MEDICAL CENTER",
"city": "BRADENTON",
"state": "FL",
"postal_code": "34209",
"telephone_number": "941-792-6611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIMBERG",
"first_name": "FLORENCE",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2010-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME0041255",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "046494500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "300085370",
"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 May 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.