KENNETH BANNERMAN MD FACC NPI 1619969623

NPI Information

  • NPI: 1619969623
  • Provider Name: KENNETH BANNERMAN, MD FACC
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • Address: 1310 BROAD ST
    BLOOMFIELD, NJ
    ZIP 07003
  • Phone: (973) 338-0800

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NPI Details

Kenneth Bannerman, MD FACC is a cardiovascular disease internal medicine in Bloomfield, NJ. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Kenneth Bannerman, MD FACC NPI is 1619969623. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1310 BROAD ST
BLOOMFIELD, NJ
ZIP 07003-009
Phone: (973) 338-0800
Fax: (973) 338-1140

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Injection, regadenoson, 0.1 mg (HCPCS:J2785)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician (HCPCS:93015)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Heart muscle strain imaging (HCPCS:93356)

The enumeration date for this NPI number is 8/16/2005 and was last updated on 7/12/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine66554NEW JERSEYNo
2207RC0000XInternal MedicineCardiovascular Disease66554NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1444180PLEMEDICARE ID-TYPE UNSPECIFIED
2C54676MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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