Besure LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

BESURE LLC

Practice address

132 Western Villa Dr
Clemmons, NC 27012-8277

Phone

(800) 570-9863

NPI assigned

Aug 30, 2019

Last updated

Aug 30, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth Frazier

Title

Secretary

Phone

(703) 677-1723

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567123200000",
    "number": "1144878349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 WESTERN VILLA DR",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 WESTERN VILLA DR",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128277",
            "telephone_number": "800-570-9863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BESURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-30",
        "last_updated": "2019-08-30",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "703-677-1723"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Basara
• Ashlyn Tilley Baughn
• Tyler Beal
• Amanda Nicole Benton, LCSWA, LCASA
• Jeffrey Berish, RPH
• Melanie N Bhambri, CNM
• Amy E Bizjak
• Frances Amanda Blackwell, MSW, LCSW
• Ekaterina Blanco, BCBA
• Bloom & Tide, PLLC

• Mobile Radiology Clinic/Center in Clemmons, NC
• Providers in Clemmons, NC by specialty
• Mobile Radiology Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.