Active NPI
Kevin T Rooker, RDMS, RVT
- Sonography Radiologic Technologist
- Bedford, TX
National Provider Identifier
1265611065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sonography Radiologic Technologist
- License
- 12470
- Practice address
- 2921 Brown TRL
Suite 150
Bedford, TX 76021-4144 - Phone
- (817) 849-8700
- Fax
- (817) 849-8701
- NPI assigned
- Oct 29, 2007
- Last updated
- Oct 29, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sonography Radiologic Technologist | 2471S1302X | 12470 | Primary | |
| Vascular Sonography Radiologic Technologist | 2471V0105X | 12470 |
Addresses
Primary practice location
2921 Brown TRL
Suite 150
Bedford, TX 76021-4144
Mailing address
2921 Brown TRL
Suite 150
Bedford, TX 76021-4144
Phone (817) 849-8700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4241HM | Other | TX | BLUE CROSS/BLUE SHIELD |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Ultrasound Imaging, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mobile Radiology Clinic/Center
- Richardson, TX
- NPI 1760531958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193616000000",
"number": "1265611065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2921 BROWN TRL",
"address_2": "SUITE 150",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760214144",
"telephone_number": "817-849-8700",
"fax_number": "817-849-8701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2921 BROWN TRL",
"address_2": "SUITE 150",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760214144",
"telephone_number": "817-849-8700",
"fax_number": "817-849-8701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROOKER",
"first_name": "KEVIN",
"middle_name": "T",
"name_prefix": "Mr.",
"credential": "RDMS, RVT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-29",
"last_updated": "2007-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "2471S1302X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Sonography",
"state": null,
"license": "12470",
"primary": true
},
{
"code": "2471V0105X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Vascular Sonography",
"state": null,
"license": "12470",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "4241HM",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bedford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.