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HUNTSVILLE BREAST CENTER PC NPI 1801010301


NPI Information

NPI: 1801010301
Provider Name: HUNTSVILLE BREAST CENTER PC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
4030 BALMORAL DR SW
HUNTSVILLE, AL
ZIP 35801
Phone: (256) 880-8070
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HUNTSVILLE BREAST CENTER PC is a diagnostic radiology radiology in Huntsville, AL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. HUNTSVILLE BREAST CENTER PC NPI is 1801010301. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4030 BALMORAL DR SW
HUNTSVILLE, AL
ZIP 35801-402
Phone: (256) 880-8070
Fax: (256) 883-3060

The provider's authorized official is Valerie M Johnson .
The authorized official title is Physician Owner and has the following contact phone number (256) 880-8070.

The enumeration date for this NPI number is 4/13/2007 and was last updated on 10/25/2010.


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
12085R0202XRadiologyDiagnostic Radiology4523ALABAMAYes

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
151089025OTHERALABAMABLUE CROSS BLUE SHIELD AL
2C76163MEDICARE UPINALABAMA
3000089025MEDICARE ID-TYPE UNSPECIFIEDALABAMAMEDICARE PROVIDER NUMBER
4529102100MEDICAIDALABAMA

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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