Organization Active NPI

Rural Radiology Consultants, LTD

  • Specialist
  • Bemidji, MN
National Provider Identifier
1043267768
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
33729 Issued in MN
Legal business name
RURAL RADIOLOGY CONSULTANTS, LTD
Practice address
3801 Bemidji Ave N
Bemidji, MN 56601-4364
Phone
(218) 333-3852
NPI assigned
May 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Hilton J Bakker, MD
Title
Owner
Phone
(218) 333-3852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 33729 MN Primary

Addresses

Primary practice location

3801 Bemidji Ave N
Bemidji, MN 56601-4364

Mailing address

3801 Bemidji Ave N
Bemidji, MN 56601-4364
Phone (218) 333-3852

National Provider Directory

National Provider Directory

Locations

916 Hilligoss Blvd SE
Fosston, MN 56542
Phone (218) 435-1133

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043267768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 BEMIDJI AVE N",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566014364",
            "telephone_number": "218-333-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 BEMIDJI AVE N",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566014364",
            "telephone_number": "218-333-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL RADIOLOGY CONSULTANTS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAKKER",
        "authorized_official_first_name": "HILTON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-333-3852",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MN",
            "license": "33729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bemidji, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.