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NORTH BRIDGE IMAGING GROUP LLC NPI 1093838195


NPI Information

NPI: 1093838195
Provider Name: NORTH BRIDGE IMAGING GROUP, LLC
Classification: Radiology - 2085D0003X
Entity Type: Organization

Specialization: Diagnostic Neuroimaging

Address:
133 OLD ROAD TO 9 ACRE COR
CONCORD, MA
ZIP 01742
Phone: (978) 287-3700
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NORTH BRIDGE IMAGING GROUP, LLC is a diagnostic neuroimaging radiology in Concord, MA. The provider is a licensed physician, who has completed a residency program in Neurology, and who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, and peripheral nerves, and Computed Tomography (CT) of the head and spine. Physicians are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation. Physicians possess special expertise in the technical aspects and clinical applications of each of the modalities and techniques of neuroimaging. NORTH BRIDGE IMAGING GROUP, LLC NPI is 1093838195. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

133 OLD ROAD TO 9 ACRE COR
CONCORD, MA
ZIP 01742-159
Phone: (978) 287-3700

The provider's authorized official is David I. Rose .
The authorized official title is President and has the following contact phone number (978) 287-3794.

The enumeration date for this NPI number is 4/6/2007 and was last updated on 11/30/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085D0003XRadiologyDiagnostic NeuroimagingYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
19716190MEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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