Organization Active NPI

Roanoke Breast Care, Inc

  • Diagnostic Radiology Physician
  • Roanoke, VA
National Provider Identifier
1467620773
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ROANOKE BREAST CARE, INC
Practice address
21 Highland Ave SE
Ste 200
Roanoke, VA 24013-2201
Phone
(540) 985-8000
NPI assigned
Feb 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Authorized official

Name
James G. Mullet, M.D.
Title
President
Phone
(540) 342-6504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

21 Highland Ave SE
Ste 200
Roanoke, VA 24013-2201

Mailing address

3227 White Oak Rd SW
Roanoke, VA 24014-1427
Phone (540) 342-6504

National Provider Directory

National Provider Directory

Locations

21 Highland Ave SE
Roanoke, VA 24013
Phone (540) 982-8881

Practitioners & affiliated clinicians

Practitioners 2

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": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1467620773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3227 WHITE OAK RD SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141427",
            "telephone_number": "540-342-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 HIGHLAND AVE SE",
            "address_2": "STE 200",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240132201",
            "telephone_number": "540-985-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROANOKE BREAST CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "MULLET",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-342-6504",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.