Organization Active NPI

Open MRI Jasper, LLC

  • Radiology Clinic/Center
  • Jasper, AL
National Provider Identifier
1598700965
Registry record updated Dec 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
000239 Issued in AL
Legal business name
OPEN MRI JASPER, LLC
Practice address
301 N Walston Bridge Rd
Jasper, AL 35504-8648
Phone
(205) 387-0977
NPI assigned
Jun 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2012

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

Authorized official

Name
Holly F Carter
Title
Manager
Phone
(205) 991-1830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 000239 AL Primary

Addresses

Primary practice location

301 N Walston Bridge Rd
Jasper, AL 35504-8648

Mailing address

301 N Walston Bridge Rd
Jasper, AL 35504-8648
Phone (205) 387-0977

Other identifiers 5

IdentifierTypeStateIssuer
1306051164OtherALJAMES SPANN, M.D. - NPI #
1427030642OtherALNPI - EICHELBERGER
51116988OtherALJAMES SPANN, M.D. BCBS ID #
1023040409OtherALNPI - BERGQUIST
1124000344OtherALNPI - SNOW

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356652800000",
    "number": "1598700965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N WALSTON BRIDGE RD",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355048648",
            "telephone_number": "205-387-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N WALSTON BRIDGE RD",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355048648",
            "telephone_number": "205-387-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN MRI JASPER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2012-12-28",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "205-991-1830"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "AL",
            "license": "000239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JAMES SPANN, M.D. - NPI #",
            "identifier": "1306051164",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - EICHELBERGER",
            "identifier": "1427030642",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JAMES SPANN, M.D. BCBS ID #",
            "identifier": "51116988",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - BERGQUIST",
            "identifier": "1023040409",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - SNOW",
            "identifier": "1124000344",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; 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.