BSR19,INC. (NPI# 1558354431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558354431 |
| Entity Type | Organization |
| Organization Name | BSR19,INC. |
| Other Organization Name | BEDSIDE RADIOGRAPHICS |
| Practice Address |
1589 Brookside Camp Rd Hendersonville NC 28792-8557 |
| Mailing Address |
Po Box 536 Naples NC 28760-0536 |
| Practice Telephone | 8282435420 |
| Mailing Telephone | 8282435420 |
| Mailing Fax Number | 8286671966 |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DAVID SHIPP (PRESIDENT) |
| Authorized Official Telephone | 8282435420 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | ========= | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSSBLUE SHIELD NC | 012TK | 01 | |
| NC | 3419807 | 05 |
| Other Name | Type Code |
|---|---|
| Bedside Radiographics | Doing Business As Name - Organization |
| Street Address |
1589 BROOKSIDE CAMP RD |
| City | HENDERSONVILLE |
| State | NC |
| Zip Code | 28792-8557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932690187 | Mark Levi | Chiropractor | 1032 Greenville Hwy Ste B, Hendersonville, NC 28792 | 2018-05-23 |
| 1427548080 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 635 Greenville Hwy, Hendersonville, NC 28792 | 2018-05-18 |
| 1649721911 | Sara R Ross | Social Worker | 48 Reedy Ridge Road, Hendersonville, NC 28792 | 2016-10-20 |
| 1669856530 | Andrew Harrell | Dentist | 200 Beverly Hanks Ctr Ste B, Hendersonville, NC 28792 | 2015-07-10 |
| 1114329539 | Pardee Urgent Care | Clinic/Center | 212 Thompson Street, Hendersonville, NC 28792 | 2014-09-17 |
| 1164844874 | Lynn Amanda Howard | Physician Assistant | 2579 Chimney Rock Road, Hendersonville, NC 28792 | 2014-01-15 |
| 1790035343 | Healthstat- Henderson County | Preventive Medicine | 211 1st Ave E., Hendersonville, NC 28792 | 2012-09-11 |
| 1578811188 | John Edward Kneedler | Physical Therapist | 600 Carolina Village Road, Hendersonville, NC 28792 | 2012-08-29 |
| 1962702845 | Rainbow Tree | In Home Supportive Care | 332 Signal Hill Road, Henderson, NC 28792 | 2010-10-26 |
| 1750600698 | Julie Ann Innes | Pharmacist | 3643 Howard Gap Road, Hendersonville, NC 28792 | 2010-05-17 |
| Find all providers in zip 28792 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821616046 | A4l (us), Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 401 Harrison Oaks Blvd Ste 100, Cary, NC 27513-2412 | 2020-07-14 |
| 1013461250 | Usb Distributor Services, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 8544 Foxbridge Dr, Matthews, NC 28104-7885 | 2016-08-04 |
| 1700060456 | Mcgraw Mobile Xray, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 726 Ramsey St Ste 10, Fayetteville, NC 28301-4705 | 2007-12-18 |
| 1922131200 | North Carolina Mobile Ultrasound | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2554 Lewisville-clemmons Road, Suite 201, Box 11, Clemmons, NC 27012-8110 | 2007-03-14 |
| 1558494815 | North Carolina Digital Imaging, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2554 Lewisville - Clemmons Road, Suite 201, Box 11, Clemmons, NC 27102-8110 | 2007-03-14 |
| 1336299338 | National Mobile X-ray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 251 Dominion Drive 112, Morrisville, NC 27560 | 2007-01-11 |
| 1366517146 | Mmds of Kingsport, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 88a Little Knob Rd, Asheville, NC 28803-9646 | 2006-11-21 |
| 1407950199 | Mobile Visions Ins | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7820 N Point Blvd, Suite 101, Winston Salem, NC 27106-3299 | 2006-09-12 |
| 1780637751 | North Carolina Digital Imaging, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1317 Ashleybrook Ln, Winston Salem, NC 27103-2918 | 2006-05-18 |
| 1245228162 | Carol Lloyd, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 30 Rosscraggon Rd, Suite Aa, Asheville, NC 28803-2102 | 2005-10-13 |
| Find all providers with the same taxonomy | ||||
| City | HENDERSONVILLE |
| Zip Code | 28792 |
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| 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.