NORTH BRIDGE IMAGING GROUP, LLC – NPI #1093838195
Radiology

A licensed physician, who has completed a residency program in Neurology, and who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, and peripheral nerves, and Computed Tomography (CT) of the head and spine. Physicians are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation. Physicians possess special expertise in the technical aspects and clinical applications of each of the modalities and techniques of neuroimaging.

NORTH BRIDGE IMAGING GROUP, LLC is a radiologist located in CONCORD, MA. NPPES has assigned the NPI number 1093838195 to NORTH BRIDGE IMAGING GROUP, LLC on April 06, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085D0003X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Neuroimaging

The NPI profile was previously updated about 3 years ago on Nov 30, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NORTH BRIDGE IMAGING GROUP, LLC below.

NPI Profile for
NORTH BRIDGE IMAGING GROUP, LLC

NPI Number
1093838195
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NORTH BRIDGE IMAGING GROUP, LLC
Primary location
133 OLD ROAD TO 9 ACRE COR
CONCORD, MA 01742-4159
Phone: (978) 287-3700 Fax:
Mailing address
10 LITTLE BROOK RD
WEST WAREHAM, MA 02576-1222
Phone: (800) 841-5200 Fax: (508) 273-1241
Organization Subpart
No
Authorized Official
DAVID ROSE
PRESIDENT
Phone: (978) 287-3794
Updated
Certification Date
Nov 30, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for NORTH BRIDGE IMAGING GROUP, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidMA9716190
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085D0003X
- Radiology / Diagnostic Neuroimaging (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.