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BERTRAND DIAGNOSTIC IMAGING AND BREAST CENTER INC. NPI 1841281631


NPI Information

NPI: 1841281631
Provider Name: BERTRAND DIAGNOSTIC IMAGING AND BREAST CENTER, INC.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1126 N CHURCH ST
SUITE 103
GREENSBORO, NC
ZIP 27401
Phone: (336) 379-0941
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BERTRAND DIAGNOSTIC IMAGING AND BREAST CENTER, INC. is a specialist in Greensboro, NC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. BERTRAND DIAGNOSTIC IMAGING AND BREAST CENTER, INC. NPI is 1841281631. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1126 N CHURCH ST
SUITE 103
GREENSBORO, NC
ZIP 27401-000
Phone: (336) 379-0941
Fax: (336) 379-7997

The provider's authorized official is Eileen Kanewske .
The authorized official title is Director Pt. Accounts and has the following contact phone number (512) 340-8114.

The enumeration date for this NPI number is 11/2/2005 and was last updated on 5/15/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist20236NORTH CAROLINAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10270AOTHERNORTH CAROLINABLUE CROSS PROVIDER NUMBE
2C82395MEDICARE UPINNORTH CAROLINA
3204311MEDICARE PINNORTH CAROLINA
4CL1487MEDICARE PINNORTH CAROLINA
5890270AMEDICAIDNORTH CAROLINA

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

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