BERTRAND DIAGNOSTIC IMAGING AND BREAST CENTER, INC.


Address: 1126 N Church St, Suite 103, Greensboro, NC 27401-1000
Phone: 3363790941

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 20236 NC Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC 890270A 05
NC BLUE CROSS PROVIDER NUMBE 0270A 01

Office Location

Street Address 1126 N CHURCH ST
SUITE 103
City GREENSBORO
State NC
Zip Code 27401-1000

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City GREENSBORO
Zip Code 27401

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Dataset Information

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.

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