Active NPI
Eythor Bjorgvinsson, M.D.
- Diagnostic Radiology Physician
- Tamuning, GU
National Provider Identifier
1114365632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 0101251027
- Practice address
- 633 Gov. Carlos Camacho Rd
Ste 210 Guam Medical Plaza
Tamuning, GU 96913-3195 - Phone
- (671) 649-1001
- Fax
- (671) 649-1002
- NPI assigned
- Jun 6, 2013
- Last updated
- Jun 6, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 0101251027 | VA | Primary |
Addresses
Primary practice location
633 Gov. Carlos Camacho Rd
Ste 210 Guam Medical Plaza
Tamuning, GU 96913-3195
Mailing address
633 Gov. Carlos Camacho Rd
Ste 210 Guam Medical Plaza
Tamuning, GU 96913-3195
Phone (671) 649-1001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101251027 | VA | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370476800000",
"number": "1114365632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "633 GOV. CARLOS CAMACHO RD",
"address_2": "STE 210 GUAM MEDICAL PLAZA",
"city": "TAMUNING",
"state": "GU",
"postal_code": "969133195",
"telephone_number": "671-649-1001",
"fax_number": "671-649-1002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "633 GOV. CARLOS CAMACHO RD",
"address_2": "STE 210 GUAM MEDICAL PLAZA",
"city": "TAMUNING",
"state": "GU",
"postal_code": "969133195",
"telephone_number": "671-649-1001",
"fax_number": "671-649-1002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BJORGVINSSON",
"first_name": "EYTHOR",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-06",
"last_updated": "2013-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0101251027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tamuning, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.