Forsyth Bone Density Imaging Center

Primary specialty

Magnetic Resonance Imaging (MRI) Internal Medicine PhysicianTaxonomy code 207RM1200X

License

773 Issued in NC

Legal business name

FORSYTH BONE DENSITY IMAGING CENTER

Practice address

1800 South Hawthorne Road
Lower Level
Winston Salem, NC 27103-4047

Phone

(336) 768-5355

Fax

(336) 768-5121

NPI assigned

Mar 27, 2007

Last updated

Jun 29, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Donna K Bergman

Title

President

Phone

(336) 768-5355

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1639297773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 SOUTH HAWTHORNE ROAD",
            "address_2": "LOWER LEVEL",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271034047",
            "telephone_number": "336-768-5355",
            "fax_number": "336-768-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SOUTH HAWTHORNE ROAD",
            "address_2": "LOWER LEVEL",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271034047",
            "telephone_number": "336-768-5355",
            "fax_number": "336-768-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORSYTH BONE DENSITY IMAGING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "BERGMAN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-768-5355",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RM1200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Magnetic Resonance Imaging (MRI)",
            "state": "NC",
            "license": "773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "19632",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH",
            "identifier": "2901094",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790176T",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0176T",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Simonica Uriah Forrest, FNP-C
• Stephanie Gayle Forrest, MD
• Giniann Forrester, RN
• Pamela Jean Forrester, P-LCSW
• Forsyth Acoustics Inc (Stratford Hearing Aid Center)
• Forsyth Cardiac & Vascular Surgeons, P.a.
• Forsyth Cardiology Associates, PA
• Forsyth Community PCC LLC (Highland Avenue Primary Care Clinic)
• Forsyth County (Forsyth County Ambulance)
• Forsyth County

• Internal Medicine Physician in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.