BERTRAND DIAGNOSTIC IMAGING AND BREAST CENTER, INC. (NPI# 1841281631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841281631 |
Entity Type | Organization |
Organization Name | BERTRAND DIAGNOSTIC IMAGING AND BREAST CENTER, INC. |
Practice Address |
1126 N Church St Suite 103 Greensboro NC 27401-1000 |
Mailing Address |
Po Box 6730565 Dallas TX 75373-0001 |
Practice Telephone | 3363790941 |
Practice Fax Number | 3363797997 |
Mailing Telephone | 8666135807 |
Enumeration Date | 2005-11-02 |
Last Update Date | 2008-05-15 |
Authorized Official Name | MS. EILEEN KANEWSKE (DIRECTOR PT. ACCOUNTS) |
Authorized Official Telephone | 5123408114 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 20236 | NC | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 890270A | 05 | |
NC | BLUE CROSS PROVIDER NUMBE | 0270A | 01 |
Street Address |
1126 N CHURCH ST SUITE 103 |
City | GREENSBORO |
State | NC |
Zip Code | 27401-1000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205450400 | Wylder Fondaw | Physician Assistant | 1126 N Church St, Greensboro, NC 27401-1000 | 2020-06-03 |
1023591807 | Jill Mcdaniel | Nurse Practitioner | 1126 N Church St, Greensboro, NC 27401-1000 | 2018-09-08 |
1730638685 | Megan E Supple | Pharmacist | 1126 N Church St, Ste 300, Greensboro, NC 27401-1000 | 2016-10-03 |
1215387279 | Brittany Manning Strader | Physician Assistant | 1126 N Church St, Suite 300, Greensboro, NC 27401-1000 | 2016-06-20 |
1275992992 | Bhavin Bhagat | Physician Assistant | 1126 N Church St, Suite 300, Greensboro, NC 27401-1000 | 2016-02-23 |
1649637778 | Amber Seiler | Nurse Practitioner | 1126 N Church St, Greensboro, NC 27401-1000 | 2016-01-20 |
1871960005 | Britney Ravenel | Nurse Anesthetist, Certified Registered | 1126 N Church St, Greensboro, NC 27401-1000 | 2015-08-24 |
1033523709 | Moses Cone Affiliated Physicians | Internal Medicine | 1126 N Church St, Suite 300, Greensboro, NC 27401-1000 | 2014-06-20 |
1922441773 | Cornerstone Health Care, LLC | Surgery | 1126 N Church St, Greensboro, NC 27401-1000 | 2013-04-11 |
1720336381 | Jessica Ann Hope | Physician Assistant | 1126 N Church St, Suite 300, Greensboro, NC 27401-1000 | 2012-08-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639779655 | Warfair Counseling, Consulting, & Supervision, Pllc | Counselor | 301 South Elm Street, Suite 801, Greensboro, NC 27401 | 2020-10-28 |
1225636848 | Alma Lucero Diaz | Registered Nurse | 1121 North Church St, Greensboro, NC 27401 | 2020-10-15 |
1447865217 | Rebecca Levy | Marriage & Family Therapist | Cone Health Family Medicine 1125 N Church Street, Greensboro, NC 27401 | 2020-09-09 |
1346854304 | Rayna's Home Care, LLC | Registered Nurse | 823 North Elm Street, Greensboro, NC 27401 | 2020-09-06 |
1316574718 | Garrett Green | Physician Assistant | 1121 N Church St., Greensboro, NC 27401 | 2020-03-25 |
1629635685 | Lauren Robinson Byrd | Anesthesiology | 1200 North Church St, Greensboro, NC 27401 | 2019-05-24 |
1285103069 | Shannon Marie Childs Meyerhoff | Occupational Therapist | Guilford County Schools Ec, 134 Franklin Blvd, Greensboro, NC 27401 | 2018-11-21 |
1194293241 | Ashley Marie Smith | Nurse Practitioner | 1200 North Elm St, Greensboro, NC 27401 | 2018-11-07 |
1285117762 | Anastazia Juszczak Gray | Speech-Language Pathologist | 1131 N. Church St, Greensboro, NC 27401 | 2018-09-11 |
1619474012 | Jamie Hannah Rose Aldridge | Psychiatry & Neurology | 1121 N Church Street, Greensboro, NC 27401 | 2018-04-11 |
Find all providers in zip 27401 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710436423 | Holderness Plastic Surgery | Specialist | 500 E Cornwallis Dr, Suite F, Greensboro, NC 27405-5681 | 2016-09-23 |
1619425469 | Iona Willett Windsor | Specialist | 2729 Battleground Ave, 5, Greensboro, NC 27408-2701 | 2016-09-21 |
1437501525 | Workready Solutions of Greensboro, Inc. | Specialist | 315 Spring Garden St, Suite 2a, Greensboro, NC 27401-2766 | 2016-07-12 |
1053721860 | Ck Vascular Pllc | Specialist | 1305 Lees Chapel Rd, Suite 103, Greensboro, NC 27455-2601 | 2014-05-01 |
1265868129 | Lindsey Ryan Brake | Specialist | 3607 Mhra 1111 Spring Garden St, Beyond Academics, The University of N.c. At Greensboro, Greensboro, NC 27412-5013 | 2013-09-23 |
1366685364 | Crossroads Treatment Centers | Specialist | 436 Spring Garden St, Greensboro, NC 27401-2734 | 2009-04-07 |
1386813038 | Alex Glenn Tomlinson | Specialist | 142 North Walnut Cir, Apt B, Greensboro, NC 27409 | 2008-02-27 |
1336350404 | Muriel W Boette | Specialist | 2712 Twin Lakes Dr, Greensboro, NC 27407-4717 | 2007-05-24 |
1669685889 | Michael C. Tanner | Specialist | 8 North Pointe Ct, Greensboro, NC 27408 | 2007-05-07 |
1962544064 | David Charles Best | Specialist | 600 Pasteur Dr, Greensboro, NC 27403-1140 | 2007-02-13 |
Find all providers in GREENSBORO |
City | GREENSBORO |
Zip Code | 27401 |
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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.