BOSTON UNIVERSITY MEDICAL CENTER RADIOLOGISTS INC. NPI 1134166945

NPI Information

NPI: 1134166945
Provider Name: BOSTON UNIVERSITY MEDICAL CENTER RADIOLOGISTS, INC.

Former Legal Business Name: FACULTY PRACTICE FOUNDATION INC BOSTON UNIV MED CTR RADIOLOGISTS

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
840 HARRISON AVE
BOSTON, MA
ZIP 02118
Phone: (617) 638-6610
Get Directions

BOSTON UNIVERSITY MEDICAL CENTER RADIOLOGISTS, INC. is a diagnostic radiology radiology in Boston, MA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. BOSTON UNIVERSITY MEDICAL CENTER RADIOLOGISTS, INC. NPI is 1134166945. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Faculty Practice Foundation Inc Boston Univ Med Ctr Radiologists.

The provider's business location address is:

840 HARRISON AVE
BOSTON, MA
ZIP 02118-905
Phone: (617) 638-6610
Fax: (617) 638-6616

The provider's authorized official is Jorge A. Soto .
The authorized official title is President and has the following contact phone number (617) 638-6556.

The enumeration date for this NPI number is 6/1/2006 and was last updated on 12/20/2023.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	2085B0100X	Radiology	Body Imaging	No
2	2085D0003X	Radiology	Diagnostic Neuroimaging	No
3	2085N0700X	Radiology	Neuroradiology	No
4	2085N0904X	Radiology	Nuclear Radiology	No
5	2085P0229X	Radiology	Pediatric Radiology	No
6	2085R0204X	Radiology	Vascular & Interventional Radiology	No
7	2085U0001X	Radiology	Diagnostic Ultrasound	No
8	2085R0202X	Radiology	Diagnostic Radiology	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3080695	MEDICAID	NEW HAMPSHIRE
2	110072258E	MEDICAID	MASSACHUSETTS

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

NPI Synchronization or Removal

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