ST. JUDE RADIOLOGY MEDICAL GROUP, INC.
NPI 1659893626
Radiology - Diagnostic Radiology in Tampa, FL

Q: What is St. Jude Radiology Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Active since July 12, 2017

7214 WAREHAM DR, TAMPA, FL 33647(714) 992-3978 Get Directions Write a Review

NPPES record last updated: July 12, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About St. Jude Radiology Medical Group, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. JUDE RADIOLOGY MEDICAL GROUP, INC. (NPI 1659893626) is a healthcare organization registered as a diagnostic radiology in Tampa, Florida and active in the NPI registry since July 2017. The organization lists Bradley A. Jackson, Medical Director / Ceo, as its authorized official.

NPPES Registry Identity

NPI1659893626

Entity TypeOrganization

Primary Taxonomy2085R0202X

Legal Business NameST. JUDE RADIOLOGY MEDICAL GROUP, INC.

Location Address7214 WAREHAM DRTampa, FL 33647-1166

Mailing AddressPo Box 940Newbury Park, CA 91319-0940

Phone(714) 992-3978

Organization SubpartNo

Authorized OfficialBradley A. JacksonMedical Director / Ceo · (714) 992-3978

Enumeration DateJuly 12, 2017

✔ NPI 1659893626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

7214 WAREHAM DR, Tampa, FL 33647

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT HAWKINS VANFLEET M.D.

Radiology (Diagnostic Radiology)

7214 WAREHAM DR
TAMPA, FL 33647

Hillsborough County (813) 972-9456

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St. Jude Radiology Medical Group, Inc.'s NPI number?

The NPI number for St. Jude Radiology Medical Group, Inc. is 1659893626. It was assigned to this organization in the NPPES registry on July 12, 2017.

Where is St. Jude Radiology Medical Group, Inc. located?

St. Jude Radiology Medical Group, Inc. is located at 7214 Wareham Dr, Tampa, FL 33647. The listed phone number is (714) 992-3978.

What is St. Jude Radiology Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for St. Jude Radiology Medical Group, Inc. was last updated on July 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.