Bear River Spine Center, PLLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

BEAR RIVER SPINE CENTER, PLLC

Doing business as

Precision Medical Imaging

Practice address

630 E 1400 N Ste 115
Logan, UT 84341-2691

Phone

(435) 799-7955

NPI assigned

Mar 27, 2019

Organization subpart

No

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

Authorized official

Name

Brian Vernon, MD

Title

Ceo

Phone

(435) 799-7955

Specialties & licenses 2

Addresses

Other names 1

• Precision Medical Imaging Doing business as

Locations

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554163200000",
    "number": "1043771645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 E 1400 N STE 115",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412691",
            "telephone_number": "435-799-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 E 1400 N STE 115",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412691",
            "telephone_number": "435-799-7955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAR RIVER SPINE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-27",
        "last_updated": "2019-04-02",
        "status": "A",
        "authorized_official_last_name": "VERNON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "435-799-7955",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Medical Imaging",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Precision Medical Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bear River District Health Dept
• Bear River Healthcare LLC
• Bear River Mental Health
• Bear River Mental Health Services Inc
• Bear River Mental Health8
• Camra Janell Bearnson, WHNP/ CNM
• Beaver Creek Mental Health PLLC
• Beaver Valley Hospital
• Emily Sue Beck
• Behavioral Mental Health Services, PC

• Magnetic Resonance Imaging (MRI) Clinic/Center in Logan, UT
• Providers in Logan, UT by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; 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.