Organization Active NPI

Health Bridge Imaging LLC

  • Body Imaging Physician
  • Belpre, OH
National Provider Identifier
1245231240
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
Legal business name
HEALTH BRIDGE IMAGING LLC
Practice address
809 Farson Street
Unit 107
Belpre, OH 45714-1066
Phone
(304) 422-0405
Fax
(304) 485-4466
NPI assigned
Aug 2, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Yale D Conley, MD
Title
President
Phone
(304) 422-0405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X OH Primary

Addresses

Primary practice location

809 Farson Street
Unit 107
Belpre, OH 45714-1066

Mailing address

809 Farson Street
Unit 107
Belpre, OH 45714-1066
Phone (304) 422-0405

Other identifiers 2

IdentifierTypeStateIssuer
2402877OtherOHMEDICAID
6802006000MedicaidWV

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1245231240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 FARSON STREET",
            "address_2": "UNIT 107",
            "city": "BELPRE",
            "state": "OH",
            "postal_code": "457141066",
            "telephone_number": "304-422-0405",
            "fax_number": "304-485-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 FARSON STREET",
            "address_2": "UNIT 107",
            "city": "BELPRE",
            "state": "OH",
            "postal_code": "457141066",
            "telephone_number": "304-422-0405",
            "fax_number": "304-485-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH BRIDGE IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CONLEY",
        "authorized_official_first_name": "YALE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-422-0405",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "2402877",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6802006000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belpre, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.