DR. NANDAGOPAL S VRINDAVANAM (NPI# 1912994971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912994971 |
| Entity Type | Individual |
| Full Name | DR. NANDAGOPAL S VRINDAVANAM |
| Credential | M.D. |
| Practice Address |
6555 Cortez Rd W Bradenton FL 34210-2608 |
| Mailing Address |
5000 Park St N Ste 1017 St Petersburg FL 33709-2236 |
| Practice Telephone | 7273446569 |
| Practice Fax Number | 7273844388 |
| Mailing Telephone | 7273446570 |
| Mailing Fax Number | 7273844388 |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2020-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
ME126543 | FL | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Q8181 | TX | Allopathic & Osteopathic Physicians |
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
ME126543 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE | LI140 | 01 |
| FL | 103361400 | 05 | |
| FL | BCBS | 7FNM3 | 01 |
| FL | MEDICARE | LI139 | 01 |
| FL | BCBS FL | 7FNM3 | 01 |
| TX | 3590879-01 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1258 W Bay Dr Ste G, Largo, FL 337702245 | 7273446569 | 7273844388 |
| 3000 Us Highway 19, Holiday, FL 346912635 | 7273446569 | 7273844388 |
| 3501 Cortez Rd W, Bradenton, FL 342103196 | 7273446569 | 7273844388 |
| 3611 Little Rd, Trinity, FL 346551813 | 7273124300 | 7273124335 |
| 401 Vonderburg Dr, Brandon, FL 335115963 | 8136842339 | 7273844388 |
| 4114 Woodlands Pkwy Ste 301, Palm Harbor, FL 346853450 | 7273446569 | 7273844388 |
| 425 S Parsons Ave Ste 101, Brandon, FL 335115290 | 8132785062 | 8135026933 |
| 5000 Park St N Ste 1017, St Petersburg, FL 337092236 | 7273446569 | 7273844388 |
| 603 7th St S Ste 560, St Petersburg, FL 337014732 | 7278207714 | 7272026455 |
| 6555 Cortez Rd W, Bradenton, FL 342102608 | 7273446569 | 7273844388 |
| Street Address |
6555 CORTEZ RD W |
| City | BRADENTON |
| State | FL |
| Zip Code | 34210-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467891333 | Bilal Farooqi | Internal Medicine | 6555 Cortez Rd W, Bradenton, FL 34210-2608 | 2013-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407337512 | Global Therapy and Wellness, Pllc | Social Worker | 6112 45th Street West, Bradenton, FL 34210 | 2018-08-27 |
| 1962912881 | Armer Alcorn | Specialist/Technologist | 5650 Bollettieri Blvd, Bradenton, FL 34210 | 2017-10-05 |
| 1053779611 | Therapeutic Lifestyle Solutions LLC | Occupational Therapist | 4702 Cortez Road, W Bradenton, FL 34210 | 2016-02-10 |
| 1831568344 | Alignment Healthcare Florida LLC | Clinic/Center | 3501 Cortez Rd. West, Jacksonville, FL 34210 | 2015-09-15 |
| 1659758910 | Vinai Artyamsoal | Obstetrics & Gynecology | 3633 Cortez Road West, Unit B-3, Bradenton, FL 34210 | 2015-05-06 |
| 1922355957 | Florida Medical Specialists | Dermatology | 4351 Cortez Rd W, Suite 101, Bradenton, FL 34210 | 2012-08-09 |
| 1386943728 | Valerie A Valle | Psychologist | 5650 Bollettieir Blvd, Bradenton, FL 34210 | 2011-03-24 |
| 1881899938 | Genevieve Duremdez Flexicare Physical Therapy | Physical Therapist | 3701 54th Dr. W. Bldg. M-101, Bradenton, FL 34210 | 2007-06-19 |
| 1194843623 | Steve C Hannan | Pharmacist | 4400 75th St. W., Bradenton, FL 34210 | 2007-03-26 |
| 1881761153 | Ruth Sidonie Cohn Eisner | Psychiatry & Neurology | 3639 Cortez Rd W Suite 108, Bradenton, FL 34210 | 2006-11-29 |
| Find all providers in zip 34210 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669463378 | Brian T. Berry | Internal Medicine | 2401 60th Street Ct W, Bradenton, FL 34209-5500 | 2005-11-02 |
| 1154305514 | Robert C. Whorf | Internal Medicine | 2401 60th Street Ct W, Bradenton, FL 34209-5500 | 2005-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568079648 | The Oncology Institute Fl, LLC | Internal Medicine | 2105 W Watrous Ave, Tampa, FL 33606-3046 | 2020-09-23 |
| 1821626383 | Tampa General Medical Group Inc | Internal Medicine | 17416 Brookside Trace Ct, Tampa, FL 33647-3589 | 2020-03-31 |
| 1770143752 | Raul Vera-gimon | Internal Medicine | 10730 Nw 66th St Apt 312, Doral, FL 33178-3708 | 2019-06-20 |
| 1740748706 | 21st Century Oncology LLC | Internal Medicine | 3651 Fau Blvd Ste 100, Boca Raton, FL 33431-6489 | 2019-03-08 |
| 1699243501 | Jose Armando Villamil | Internal Medicine | 8356 Sw 40th St Ste J, Miami, FL 33155-3356 | 2018-11-08 |
| 1790287878 | South Florida Cancer Institute | Internal Medicine | 1005 Marina Mile Blvd, Fort Lauderdale, FL 33315-2433 | 2018-03-05 |
| 1912350596 | Gilberto Lopes | Internal Medicine | 8345 Nw 66th St # 9886, Miami, FL 33195-2696 | 2016-07-19 |
| 1013382399 | Neil Howard Love | Internal Medicine | 2 S Biscayne Blvd, Ste 3600, Miami, FL 33131-1806 | 2015-12-11 |
| 1790115681 | Calvin Collins Jr. | Internal Medicine | 4403 Vineland Rd, Suite B5, Orlando, FL 32811 | 2013-11-14 |
| 1275895047 | Ira D Stein | Internal Medicine | 19 Jewfish Ave, Key Largo, FL 33037-4711 | 2012-06-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.