BRUNSWICK DIAGNOSTIC IMAGING, LLC – NPI #1922089713
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

BRUNSWICK DIAGNOSTIC IMAGING, LLC is a radiologist located in BRUNSWICK, GA. NPPES has assigned the NPI number 1922089713 to BRUNSWICK DIAGNOSTIC IMAGING, LLC on November 08, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BRUNSWICK DIAGNOSTIC IMAGING, LLC” is a dba name, the actual legal business name for this organization is NORTHWEST DIAGNOSTIC IMAGING, INC. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 18 years ago on May 20, 2008. 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 BRUNSWICK DIAGNOSTIC IMAGING, LLC below.

NPI Profile for
NORTHWEST DIAGNOSTIC IMAGING, INC

NPI Number
1922089713
Enumeration Date

(more than 20 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
NORTHWEST DIAGNOSTIC IMAGING, INC
Doing Business As (dba): BRUNSWICK DIAGNOSTIC IMAGING, LLC
Primary location
1111 GLYNCO PKWY
BRUNSWICK, GA 31525-7921
Phone: (912) 261-8890 Fax: (912) 261-0342
Mailing address
PO BOX 932391
ATLANTA, GA 31193-2391
Phone: (678) 393-5600 Fax: (770) 300-9018
Organization Subpart
No
Authorized Official
DANIEL SCHAEFER
COO
Phone: (770) 300-0101
Updated
Identifiers

Identifiers for BRUNSWICK DIAGNOSTIC IMAGING, 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
OTHERRAILROAD MEDICAREGADA0357
OTHERRAILROAD MEDICAREGACH7801
OTHERRAILROAD MEDICAREGACA0798
OTHERUS DEPARTMENT OF LABORGA22687081
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
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
GA

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.