BRIDGEWAY DIAGNOSTIC RADIOLOGY NPI 1306248729

NPI Information

BRIDGEWAY DIAGNOSTIC RADIOLOGY is a diagnostic radiology radiology in Phenix City, AL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. BRIDGEWAY DIAGNOSTIC RADIOLOGY NPI is 1306248729. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5007 SUMMERVILLE ROAD
PHENIX CITY, AL
ZIP 36867-559
Phone: (334) 408-2854
Fax: (334) 384-9274

The provider's authorized official is Jason Hoover .
The authorized official title is M.d./owner and has the following contact phone number (334) 408-2854.

The CLIA number assigned to this NPI record is 01D2086760 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/17/2014 and was last updated on 7/28/2023.

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:

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