Breast Care Specialists of Virginia

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

BREAST CARE SPECIALISTS OF VIRGINIA

Practice address

1802 Electric Rd
Roanoke, VA 24018-1619

Phone

(540) 344-1444

Fax

(540) 344-8096

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Mr. John Hansen

Title

General Manager

Phone

(540) 344-1444

Specialties & licenses 1

Addresses

Other names 1

• Breast Care Specialists of the Blue Ridge Former legal business name

Locations

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528113008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 ELECTRIC RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240181619",
            "telephone_number": "540-344-1444",
            "fax_number": "540-344-8096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 ELECTRIC RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240181619",
            "telephone_number": "540-344-1444",
            "fax_number": "540-344-8096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAST CARE SPECIALISTS OF VIRGINIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "540-344-1444",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Breast Care Specialists of the Blue Ridge",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Specialist in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Specialist in Virginia

• 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.