North Brandon Imaging LLC
North Brandon Imaging LLC is a healthcare organization registered as Radiology Clinic/Center in Brandon, FL, holding Type 2 (organization) NPI 1649276098 since 2005. The authorized official on file is Lavelle Hardin, Credentialing Coordinator.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1649276098 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | North Brandon Imaging LLC |
| Other name | <Unavail> |
| Practice address | 613 OAKFIELD DR, Brandon, FL, 33511 |
| Phone | 8136612222 |
| Fax | 8136818494 |
| Enumeration date | 2005-06-21 |
| Last updated in NPPES | 2008-10-09 |
Authorized official
| Name | Lavelle Hardin |
|---|---|
| Title | Credentialing Coordinator |
| Phone | 6153448203 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | Secondary | — | — |
| 261QR0206X | Mammography Clinic/Center | Secondary | — | — |
| 261QR0200X | Radiology Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 272079500 | Medicaid | FL | — |
| V3028 | Other | FL | BCBS OF FL |
| P00280433 | Other | FL | RR MEDICARE |
Copy-ready billing details
Provider: North Brandon Imaging LLC NPI: 1649276098 Taxonomy: 261QR0200X (Radiology Clinic/Center) Address: 613 OAKFIELD DR, Brandon, FL, 33511
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1184620692 | Mark Nanni | Individual | Diagnostic Radiology Physician | Brandon, FL |
| 1730186313 | Brian Butler | Individual | Diagnostic Ultrasound Physician | Brandon, FL |
| 1114924305 | John Mctaggart | Individual | Diagnostic Ultrasound Physician | Brandon, FL |
| 1023009842 | North Brandon Imaging, LLC | Organization | Diagnostic Radiology Physician | Brandon, FL |
| 1063041655 | Simonmed Imaging Florida LLC | Organization | Diagnostic Radiology Physician | Brandon, FL |
Verify this record
Cross-check NPI 1649276098 against the authoritative CMS record: view North Brandon Imaging LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is North Brandon Imaging LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-10-09.