NPIMap

Organization Active NPI

Bear MRI & Imaging Center, LLC

  • Diagnostic Radiology Physician
  • Bear, DE
National Provider Identifier
1376828061
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 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
Last updated
Dec 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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

Authorized official

Name
Mr. Chris Coyne
Title
Owner
Phone
(302) 834-4580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X DE Primary

Addresses

Primary practice location

101 Becks Woods Drive
Bear, DE 19701

Mailing address

PO Box 2324
Wilmington, DE 19899-2324
Phone (302) 834-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130222000209 DE Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 5597910562 Receives reassigned benefits from 6 practitioners
Practice locations: Bear, DE

National Provider Directory

National Provider Directory

Locations

101 Becks Woods Dr
Ste 103
Bear, DE 19701
Phone (302) 743-1585

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355184000000",
    "number": "1376828061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2324",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198992324",
            "telephone_number": "302-834-4500",
            "fax_number": "302-834-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BECKS WOODS DRIVE",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "19701",
            "telephone_number": "302-834-4500",
            "fax_number": "302-834-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAR MRI & IMAGING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-13",
        "last_updated": "2012-12-11",
        "status": "A",
        "authorized_official_last_name": "COYNE",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-834-4580",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bear, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.