NPIMap

Organization Active NPI

South Potomac Bone Assessment Center

  • Radiology Clinic/Center
  • Washington, DC
National Provider Identifier
1518983139
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
SOUTH POTOMAC BONE ASSESSMENT CENTER
Practice address
1328 Southern Ave SE
Suite 210
Washington, DC 20032-4689
Phone
(202) 574-0540
Fax
(202) 562-6140
NPI assigned
Jul 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Edger Verdan Potter, MDNPI 1881623320
Title
President
Phone
(202) 574-0540

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X NU Primary

Addresses

Primary practice location

1328 Southern Ave SE
Suite 210
Washington, DC 20032-4689

Mailing address

1328 Southern Ave SE
Suite 210
Washington, DC 20032-4689
Phone (202) 574-0540

National Provider Directory

National Provider Directory

Locations

1328 Southern Ave SE
Ste 210
Washington, DC 20032
Phone (202) 574-0540

Practitioners & affiliated clinicians

Practitioners 2

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": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518983139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 SOUTHERN AVE SE",
            "address_2": "SUITE 210",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200324689",
            "telephone_number": "202-574-0540",
            "fax_number": "202-562-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 SOUTHERN AVE SE",
            "address_2": "SUITE 210",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200324689",
            "telephone_number": "202-574-0540",
            "fax_number": "202-562-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH POTOMAC BONE ASSESSMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "EDGER",
        "authorized_official_middle_name": "VERDAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-574-0540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.