Aurora Diagnostic Imaging LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

4098 Issued in AK

Legal business name

AURORA DIAGNOSTIC IMAGING LLC

Practice address

3419 Airport Way Ste D
Fairbanks, AK 99709-4761

Phone

(907) 474-2002

NPI assigned

Jul 13, 2007

Last updated

Sep 6, 2007By 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

Dr. Robert L BridgesNPI 1366501876

Title

Owner

Phone

(907) 352-9233

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Loren Bridges, M.D.

  • Diagnostic Radiology Physician
  • Wasilla, AK
  • NPI 1366501876
  NPD (past) Authorized official

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1336348937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751",
            "city": "GIRDWOOD",
            "state": "AK",
            "postal_code": "995870751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3419 AIRPORT WAY STE D",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997094761",
            "telephone_number": "907-474-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA DIAGNOSTIC IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "BRIDGES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-352-9233",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AK",
            "license": "4098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1366501876",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Olivia Britt Aultman, LMSW
• Auralight Services, LLC
• Aurora Audiology LLC
• Aurora Counseling, LLC (Sara Wood Counseling)
• Aurora Dental Hygiene Care LLC (Aurora Dental Hygiene Care)
• Aurora Disability Services
• Aurora Foot & Ankle Surgical Specialists, LLC
• Aurora Plastic Surgery, LLC
• Kaneeka Austin
• Cody Auton

• Diagnostic Radiology Physician in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Diagnostic Radiology Physician in Alaska

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

Verify at the official NPI Registry.