Premier Radiology Services PSC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

PREMIER RADIOLOGY SERVICES PSC

Practice address

1801 Ashley Cir
Bowling Green, KY 42104-3362

Phone

(800) 824-2544

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Kevin L. Burner, MD

Title

President

Phone

(800) 824-2544

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1497873525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8035",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447118035",
            "telephone_number": "800-824-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 ASHLEY CIR",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043362",
            "telephone_number": "800-824-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER RADIOLOGY SERVICES PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BURNER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-824-2544",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64060155",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Praxair Healthcare Services, Inc.
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• Premise Health of West Virginia Medical Medical Corporation
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• Pamela Marie Pressgrove, SLP
• Katherine R Prewitt
• Allan Pribble, M.D.

• Diagnostic Radiology Physician in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Diagnostic Radiology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.