Organization Active NPI

Bluegrass Diagnostic Imaging LLC

  • Durable Medical Equipment & Medical Supplies
  • Louisville, KY
National Provider Identifier
1669754586
Registry record updated Sep 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BLUEGRASS DIAGNOSTIC IMAGING LLC
Practice address
4949 Brownsboro Rd
Suite 215
Louisville, KY 40222-6424
Phone
(502) 438-8356
NPI assigned
Sep 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2011

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

Authorized official

Name
Dorthea Bergmann
Title
President
Phone
(502) 438-8356

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

4949 Brownsboro Rd
Suite 215
Louisville, KY 40222-6424

Mailing address

4949 Brownsboro Rd
Suite 215
Louisville, KY 40222-6424
Phone (502) 438-8356

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1316131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316131200000",
    "number": "1669754586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 BROWNSBORO RD",
            "address_2": "SUITE 215",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402226424",
            "telephone_number": "502-438-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 BROWNSBORO RD",
            "address_2": "SUITE 215",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402226424",
            "telephone_number": "502-438-8356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS DIAGNOSTIC IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-16",
        "last_updated": "2011-09-16",
        "status": "A",
        "authorized_official_last_name": "BERGMANN",
        "authorized_official_first_name": "DORTHEA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-438-8356"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; 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.