FAWCETT MEDICAL IMAGING PA
NPI 1720068497
Radiology - Diagnostic Radiology in Port Charlotte, FL

Active since January 19, 2006
21298 OLEAN BLVD, PORT CHARLOTTE, FL 33952(423) 826-1276 Get Directions Write a Review

NPPES record last updated: February 27, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fawcett Medical Imaging Pa NPPES

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

FAWCETT MEDICAL IMAGING PA (NPI 1720068497) is a healthcare organization registered as a diagnostic radiology in Port Charlotte, Florida and active in the NPI registry since January 2006. The organization lists Bruce Bielfelt, President, as its authorized official.

NPPES Registry Identity

NPI1720068497
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameFAWCETT MEDICAL IMAGING PA
Location Address21298 OLEAN BLVDPort Charlotte, FL 33952-6705
Mailing Address4300 N Access Rd, Suite DChattanooga, TN 37415-3812 · (423) 826-1276
Organization SubpartNo
Authorized OfficialBruce BielfeltPresident · (727) 942-5103
Enumeration DateJanuary 19, 2006
Last NPPES UpdateFebruary 27, 2013
NPI 1720068497 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.
21298 OLEAN BLVD, Port Charlotte, FL 33952

Other Identifiers 3

Medicare PINK6370FL
Medicaid270659800FL
Other74912FL · Bcbs Florida

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

Clinical Nurse Specialist (Acute Care)
21298 OLEAN BLVD
PORT CHARLOTTE, FL 33952
Physical Therapist
21298 OLEAN BLVD
PORT CHARLOTTE, FL 33952
Nurse Practitioner (Acute Care)
21298 OLEAN BLVD
PORT CHARLOTTE, FL 33952
Emergency Medicine
21298 OLEAN BLVD
PORT CHARLOTTE, FL 33952
Pathology (Anatomic Pathology & Clinical Pathology)
21298 OLEAN BLVD
PORT CHARLOTTE, FL 33952
Anesthesiology
21298 OLEAN BLVD
PORT CHARLOTTE, FL 33952
Physician Assistant (Surgical)
21298 OLEAN BLVD
PORT CHARLOTTE, FL 33952
Emergency Medicine
21298 OLEAN BLVD
PORT CHARLOTTE, FL 33952

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 Fawcett Medical Imaging PA's NPI number?

The NPI number for Fawcett Medical Imaging PA is 1720068497. It was assigned to this organization in the NPPES registry on January 19, 2006.

Where is Fawcett Medical Imaging PA located?

Fawcett Medical Imaging PA is located at 21298 Olean Blvd, Port Charlotte, FL 33952. The listed phone number is (423) 826-1276.

What is Fawcett Medical Imaging PA'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 Fawcett Medical Imaging PA was last updated on February 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.