MR. BRAD ROELOFS CCT NPI 1831363910

NPI Information

NPI: 1831363910
Provider Name: MR. BRAD ROELOFS, CCT
Classification: Technician, Cardiology - 246W00000X
Entity Type: Individual
Address:
27702 CROWN VALLEY PKWY
D4149
LADERA RANCH, CA
ZIP 92694
Phone: (949) 407-8911
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MR. Brad Roelofs, CCT is a technician cardiology in Ladera Ranch, CA. The provider is an individual who has knowledge of specific techniques, instruments, and equipment required in performing specific cardiovascular/peripheral vascular diagnostic procedures. MR. Brad Roelofs, CCT NPI is 1831363910. 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:

27702 CROWN VALLEY PKWY
D4149
LADERA RANCH, CA
ZIP 92694-608
Phone: (949) 407-8911

The enumeration date for this NPI number is 4/18/2008 and was last updated on 7/21/2016.

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
1	246W00000X	Technician, Cardiology				Yes

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
1	TG033	MEDICARE PIN	CALIFORNIA
2	ZZZ42363Z	OTHER	CALIFORNIA	BLUE SHIELD ITS

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: 4/28/2024

NPI Synchronization or Removal

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