Organization Active NPI

Premier Medical Care P C

Doing business as Premier Radiology

  • Diagnostic Radiology Physician
  • Kalamazoo, MI
National Provider Identifier
1487696589
Registry record updated Jan 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
PREMIER MEDICAL CARE P C
Doing business as
Premier Radiology
Practice address
1535 Gull Rd
Suite 200
Kalamazoo, MI 49048-1650
Phone
(269) 388-6350
Fax
(269) 388-4738
NPI assigned
Jun 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2009

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

Authorized official

Name
Mr. John L. Brack
Title
Practice Manager
Phone
(269) 388-6350

Specialties & licenses 1

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

Addresses

Primary practice location

1535 Gull Rd
Suite 200
Kalamazoo, MI 49048-1650

Mailing address

1535 Gull Rd
Suite 200
Kalamazoo, MI 49048-1650
Phone (269) 388-6350

Other names 1

  • Premier Radiology Doing business as

National Provider Directory

National Provider Directory

Locations

2207 Momentum Pl
Chicago, IL 60689

2207 Momenturm Pl
Chicago, IL 60689

16 Emmett St E
Ste 2
Battle Creek, MI 49017
Phone (269) 965-8866

16 Emmett St E
Battle Creek, MI 49017
Phone (616) 969-6130

1456 Hudson Rd
Hillsdale, MI 49242
Phone (517) 439-0200

1516 Trimble Ave
Kalamazoo, MI 49048
Phone (248) 488-1523

1700 Gull Rd
Kalamazoo, MI 49048
Phone (269) 342-1099

601 John St
Ste M-351
Kalamazoo, MI 49007
Phone (269) 341-8786

1541 Gull Rd
Ste 1
Kalamazoo, MI 49048

1701 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-2550

1542 Gull Rd
Kalamazoo, MI 49048

215 E Mansion St
Ste 2C
Marshall, MI 49068
Phone (269) 789-4386

671 Allegan St
Ste B
Plainwell, MI 49080
Phone (269) 685-3123

7895 Currier Dr
Ste C
Portage, MI 49002
Phone (269) 321-7036

214 Spring St
Three Rivers, MI 49093
Phone (269) 278-1145

Practitioners & affiliated clinicians

Practitioners 50

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 50

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233014400000",
    "number": "1487696589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 GULL RD",
            "address_2": "SUITE 200",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481650",
            "telephone_number": "269-388-6350",
            "fax_number": "269-388-4738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 GULL RD",
            "address_2": "SUITE 200",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481650",
            "telephone_number": "269-388-6350",
            "fax_number": "269-388-4738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MEDICAL CARE P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2009-01-27",
        "status": "A",
        "authorized_official_last_name": "BRACK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "269-388-6350",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; 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.