Proscan Mobile Ultrasound LLC

Primary specialty

Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X

Legal business name

PROSCAN MOBILE ULTRASOUND LLC

Practice address

858 County Route 38
Norfolk, NY 13667-3205

Phone

(315) 267-6159

Fax

(315) 262-8117

NPI assigned

Nov 3, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Brandon Michael Bertrand, RDMS(OB/GYN)

Title

Ceo/ Ultrasound Technologist

Phone

(315) 614-2858

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1698969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698969600000",
    "number": "1689447302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "858 COUNTY ROUTE 38",
            "city": "NORFOLK",
            "state": "NY",
            "postal_code": "136673205",
            "telephone_number": "315-267-6159",
            "fax_number": "315-262-8117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "858 COUNTY ROUTE 38",
            "city": "NORFOLK",
            "state": "NY",
            "postal_code": "136673205",
            "telephone_number": "315-267-6159",
            "fax_number": "315-262-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSCAN MOBILE ULTRASOUND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-03",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A",
        "authorized_official_last_name": "BERTRAND",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO/ ULTRASOUND TECHNOLOGIST",
        "authorized_official_telephone_number": "315-614-2858",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RDMS(OB/GYN)"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flos C Brown, MD
• Ashli Buddenhagen
• James Carl Davey, B.C.B.A.
• Gabrielle Dorann Martineau
• Norfolk Volunteer Rescue Squad Inc
• Ruth Short
• Emmy Waring Stevenson, RN,MS,CFNP

• All providers in Norfolk, NY
• Diagnostic Ultrasound Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.