Bear MRI & Imaging Center, LLC
Organization Active NPI Diagnostic Radiology Physician · Bear, DE
NPI 1376828061 · NPPES record last updated Dec 11, 2012
Key facts
- NPI
- 1376828061
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- BEAR MRI & IMAGING CENTER, LLC
- Practice address
- 101 Becks Woods Drive
Bear, DE 19701 - Phone
- (302) 834-4500
- Fax
- (302) 834-4580
- NPI assigned
- Oct 13, 2011
- Organization subpart
- No
Authorized official
- Name
- Mr. Chris Coyne
- Title
- Owner
- Phone
- (302) 834-4580
Practitioners 13
-
Maureen Barry, MD
-
Gregory S Elliott, M.D.
-
Mohsin Yunus Ghadiali, M.D.
-
Lee Jay Hewett, MD
-
Benjamin Ross Park, D.O.
-
Nadisha Levy, FNP
-
Sidonie Simone Salmon, APRN, FNP-C
-
Maximina Boutselis, M.D.
-
Aamer Z. Farooki, M.D.
-
Lloyd David Wagner, M.D.
-
Michael Yuz, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130222000209 | DE | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 5597910562 |
Receives reassigned benefits from 6 practitioners Practice locations: Bear, DE |
National Provider Directory
Locations
101 Becks Woods Dr
Bear, DE 19701
Phone (302) 595-9964
101 Becks Woods Dr
Ste 103
Bear, DE 19701
Phone (302) 743-1585
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | DE | Yes |
Addresses
Primary practice location
101 Becks Woods Drive
Bear, DE 19701
Mailing address
PO Box 2324
Wilmington, DE 19899-2324
Phone (302) 834-4500
Other providers in Bear, DE
- Bayhealth Medical Center, Inc
- Bockarie Bayoh
- Bear Chiropractic Inc.
- Bear Eye Care LLC
- Bear Health Care Services
- Bear Physical Therapy & Wellness Inc
- Bear RX LLC
- Bear-Appaloosa LLC
- Kathleen Emma Becker
- Behavioral Health Associates, Inc.
All providers in Bear, DE · Diagnostic Radiology Physician in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.