NPIMap

Organization Active NPI

MSN Imaging Professionals, Inc

  • Vascular & Interventional Radiology Physician
  • Cleveland, OH
National Provider Identifier
1679665772
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
34-053437 Issued in OH
Legal business name
MSN IMAGING PROFESSIONALS, INC
Practice address
4330 W 150TH St
Suite 101
Cleveland, OH 44135-1362
Phone
(216) 688-8000
Fax
(216) 688-0075
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Bradley A Blackburn, M.D.
Title
President
Phone
(216) 688-8000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0202X 35-053437 OH
Vascular & Interventional Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0204X 34-053437 OH Primary

Addresses

Primary practice location

4330 W 150TH St
Suite 101
Cleveland, OH 44135-1362

Mailing address

4330 W 150TH St
Suite 101
Cleveland, OH 44135-1362
Phone (216) 688-8000

Other identifiers 3

IdentifierTypeStateIssuer
0629172MedicaidOH
000000169054OtherOHANTHEM
92915OtherOHQUALCHOICE

National Provider Directory

National Provider Directory

Locations

4330 W 150th St
Ste 101
Cleveland, OH 44135
Phone (216) 688-8000

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1679665772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 W 150TH ST",
            "address_2": "SUITE 101",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441351362",
            "telephone_number": "216-688-8000",
            "fax_number": "216-688-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 W 150TH ST",
            "address_2": "SUITE 101",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441351362",
            "telephone_number": "216-688-8000",
            "fax_number": "216-688-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSN IMAGING PROFESSIONALS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BLACKBURN",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-688-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35-053437",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "OH",
            "license": "34-053437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0629172",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000169054",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "92915",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.