Mississippi Medical Imaging Group, PLLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

16289 Issued in MS

Legal business name

MISSISSIPPI MEDICAL IMAGING GROUP, PLLC

Practice address

4934 Pecan Dr
Belden, MS 38826-8715

Phone

(662) 840-1708

NPI assigned

Nov 23, 2013

Last updated

Nov 24, 2013By 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

Christoph Alexander Bergmann, MD, PHDNPI 1699717439

Title

Sole Member

Phone

(662) 840-1708

Specialties & licenses 1

Addresses

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.

• Christoph Alexander Bergmann, M.D.

  • Diagnostic Radiology Physician
  • Belden, MS
  • NPI 1699717439
  NPD (past) Authorized official

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

{
    "created_epoch": "1385164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385251200000",
    "number": "1447680798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4934 PECAN DR",
            "city": "BELDEN",
            "state": "MS",
            "postal_code": "388268715",
            "telephone_number": "662-840-1708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4934 PECAN DR",
            "city": "BELDEN",
            "state": "MS",
            "postal_code": "388268715",
            "telephone_number": "662-840-1708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI MEDICAL IMAGING GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-23",
        "last_updated": "2013-11-24",
        "status": "A",
        "authorized_official_last_name": "BERGMANN",
        "authorized_official_first_name": "CHRISTOPH",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "662-840-1708",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MS",
            "license": "16289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Lynn Lee, DPT
• Magnolia Manor at Tupelo
• Aimee Malone, PT, DPT
• Kristin A. McDaniel, RD
• Med-Life Distributions, LLC
• Mathilda Lail Nash, DPT
• Troy Jun Ostrander, D.O.
• Beverly Athen Parks, RMT
• PH Counseling LLC
• Premier Family and Urgent Care

• Diagnostic Radiology Physician in Belden, MS
• Providers in Belden, MS by specialty
• Diagnostic Radiology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2013; 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.