Organization Active NPI

BDNT Radiology, PA

  • Specialist
  • Denton, TX
National Provider Identifier
1326219817
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
BDNT RADIOLOGY, PA
Practice address
2817 S Mayhill Rd Ste 270
Denton, TX 76208-5970
Phone
(817) 749-2001
Fax
(940) 483-1568
NPI assigned
Mar 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Authorized official

Name
Ravi Venugopal
Title
Director
Phone
(817) 749-2001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X TX Primary

Addresses

Primary practice location

2817 S Mayhill Rd Ste 270
Denton, TX 76208-5970

Mailing address

PO Box 92038
Southlake, TX 76092
Phone (817) 749-2001

Other identifiers 1

IdentifierTypeStateIssuer
00627ZOtherTXMEDICARE GROUP NUMBER

National Provider Directory

National Provider Directory

Locations

300 Miron Dr
Southlake, TX 76092
Phone (817) 749-2000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1326219817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92038",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "76092",
            "telephone_number": "817-749-2001",
            "fax_number": "940-483-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 S MAYHILL RD STE 270",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762085970",
            "telephone_number": "817-749-2001",
            "fax_number": "940-483-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BDNT RADIOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "VENUGOPAL",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "817-749-2001"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "00627Z",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.