BEAR RIVER SPINE CENTER, PLLC (NPI# 1043771645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043771645 |
| Entity Type | Organization |
| Organization Name | BEAR RIVER SPINE CENTER, PLLC |
| Other Organization Name | PRECISION MEDICAL IMAGING |
| Practice Address |
630 E 1400 N Ste 115 Logan UT 84341-2691 |
| Practice Telephone | 4357997955 |
| Mailing Telephone | 4357997955 |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2019-04-02 |
| Authorized Official Name | BRIAN VERNON (CEO) |
| Authorized Official Telephone | 4357997955 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Precision Medical Imaging | Doing Business As Name - Organization |
| Street Address |
630 E 1400 N STE 115 |
| City | LOGAN |
| State | UT |
| Zip Code | 84341-2691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701529 | Aubrey Salmond | Registered Nurse | 500 East 1500 N, Logan, UT 84341 | 2019-10-11 |
| 1043702046 | Eye Pros of Logan LLC | Optometrist | 1475 N Main St Ste 103, Logan, UT 84341 | 2018-06-05 |
| 1275050452 | Rylie Jeanne Cook | Student in an Organized Health Care Education/Training Program | 11 Aggie Village Apt. J, Logan, UT 84341 | 2017-08-28 |
| 1093262156 | Jessica Lynn Mcgarry | Social Worker | 1040 N 130 W, Apt 100, Logan, UT 84341 | 2016-09-07 |
| 1740663566 | Paul R Gregory | Occupational Therapy Assistant | 1300 N 500 E Suite 120, Suite 120, Logan, UT 84341 | 2015-06-30 |
| 1851708846 | Bradley Budge | Optometrist | 535 E 1400 N Ste 130, Logan, UT 84341 | 2014-07-22 |
| 1386058709 | Daniel Raymond Carlson | Physician Assistant | 500 E. 1400 N., Logan, UT 84341 | 2014-06-13 |
| 1902220239 | Work Injury Solutions Inc. | Clinic/Center | 630 E 1400 N Ste 140, Logan, UT 84341 | 2014-02-06 |
| 1750627287 | Lee Martin Williams Sr. | Counselor | 186 E. 1800 N., North Logan, UT 84341 | 2013-01-03 |
| 1669747804 | Ronald J Payne | Internal Medicine | 1726 North 1850 East, North Logan, UT 84341 | 2012-03-21 |
| Find all providers in zip 84341 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548269103 | Hocking Valley Imaging, LLC | Clinic/Center | 31500 Chieftain Dr, Ste B, Logan, OH 43138-8421 | 2005-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043388861 | Southern Utah Mri, Inc. | Clinic/Center | 1335 N. Northfield Rd., #100, Cedar City, UT 84721 | 2006-12-01 |
| 1366512808 | St George Imaging LLC | Clinic/Center | 1490 E Foremaster Dr Bldg C, Saint George, UT 84790-4550 | 2006-11-09 |
| 1871592691 | Avocet Medical Imaging | Clinic/Center | 1930 S Highway 89, Perry, UT 84302-4119 | 2005-07-14 |
| 1679645139 | Wasatch Imaging LLC | Clinic/Center | 9844 S 1300 E, #175, Sandy, UT 84094-4688 | 2006-11-13 |
Please comment or provide details below to improve the information on BEAR RIVER SPINE CENTER, PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.