BLUERAD PLLC NPI 1154502151

NPI Information

NPI: 1154502151
Provider Name: BLUERAD PLLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
500 CHERRY ST
BLUEFIELD, WV
ZIP 24701
Phone: (304) 327-1100
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BLUERAD PLLC is a diagnostic radiology radiology in Bluefield, WV. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. BLUERAD PLLC NPI is 1154502151. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

500 CHERRY ST
BLUEFIELD, WV
ZIP 24701-306
Phone: (304) 327-1100

The provider's authorized official is Thomas Edward Miller .
The authorized official title is Owner and has the following contact phone number (304) 327-1541.

The enumeration date for this NPI number is 11/19/2007 and was last updated on 9/28/2018.

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	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	19237	WEST VIRGINIA	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	3810012266	MEDICAID	WEST VIRGINIA
2	002049520	OTHER	WEST VIRGINIA	HIGHMARK BCBS

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: 5/5/2024

NPI Synchronization or Removal

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