NPIMap

Organization Active NPI

Axon Medical Consultants, PLLC

  • Diagnostic Radiology Physician
  • Port St Lucie, FL
National Provider Identifier
1982058798
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
AXON MEDICAL CONSULTANTS, PLLC
Practice address
451 SW Bethany Dr
Ste. 102
Port St Lucie, FL 34986-1964
Phone
(772) 202-2734
NPI assigned
Apr 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2016

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

Authorized official

Name
Eliot A Budnick, DO
Title
Owner
Phone
(772) 202-2734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

451 SW Bethany Dr
Ste. 102
Port St Lucie, FL 34986-1964

Mailing address

PO Box 1087
Evansville, IN 47706-1087
Phone (812) 471-1591

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460937600000",
    "number": "1982058798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1087",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477061087",
            "telephone_number": "812-471-1591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 SW BETHANY DR",
            "address_2": "STE. 102",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861964",
            "telephone_number": "772-202-2734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXON MEDICAL CONSULTANTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-18",
        "last_updated": "2016-04-18",
        "status": "A",
        "authorized_official_last_name": "BUDNICK",
        "authorized_official_first_name": "ELIOT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-202-2734",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; 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.