Active NPI
Gina A McRae, MD
- Diagnostic Radiology Physician
- Mountain BRK, AL
National Provider Identifier
1235134305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 18733
- Practice address
- 21 Ridge Dr
Mountain BRK, AL 35213-3633 - Phone
- (952) 595-1100
- Fax
- (612) 294-4903
- NPI assigned
- Jun 16, 2005
- Sex
- Female
- 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 | 18733 | AL | Primary |
Addresses
Primary practice location
21 Ridge Dr
Mountain BRK, AL 35213-3633
Mailing address
11995 Singletree LN
Ste 500
Eden Prairie, MN 55344-5347
Phone (952) 595-1301
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18733 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Magnetic Imaging Center LTD | Diagnostic Radiology | Past | Accepting new patients |
| Caroline a Reich MD PC | Diagnostic Radiology | Past | Accepting new patients |
| Birmingham Radiological Group PC | Diagnostic Radiology | Past | Accepting new patients |
| Physicians MRI Inc | Past | Accepting new patients | |
| Radiology Associates of Macon PC | Diagnostic Radiology | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Birmingham, AL
- NPI 1376594192
-
- Diagnostic Radiology Physician
- Birmingham, AL
- NPI 1982882270
-
- Diagnostic Radiology Physician
- Macon, GA
- NPI 1114900545
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Macon, GA
- NPI 1730158601
-
- Diagnostic Radiology Physician
- Macon, GA
- NPI 1679563035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603843200000",
"number": "1235134305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11995 SINGLETREE LN",
"address_2": "STE 500",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553445347",
"telephone_number": "952-595-1301",
"fax_number": "612-294-4903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 RIDGE DR",
"city": "MOUNTAIN BRK",
"state": "AL",
"postal_code": "352133633",
"telephone_number": "952-595-1100",
"fax_number": "612-294-4903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCRAE",
"first_name": "GINA",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-16",
"last_updated": "2020-10-28",
"certification_date": "2020-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AL",
"license": "18733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mountain BRK, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.