NPIMap

Organization Active NPI

Southwest Michigan Radiology PLLC

  • Diagnostic Radiology Physician
  • Allegan, MI
National Provider Identifier
1710081062
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4301067478 Issued in MI
Legal business name
SOUTHWEST MICHIGAN RADIOLOGY PLLC
Practice address
555 Linn St
Allegan, MI 49010-1524
Phone
(616) 235-4800
NPI assigned
Sep 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2012

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

Authorized official

Name
Dennis Bruce, MD
Title
President/Member
Phone
(616) 235-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 4301067478 MI Primary

Addresses

Primary practice location

555 Linn St
Allegan, MI 49010-1524

Mailing address

5350 Beckley Rd
Suite C
Battle Creek, MI 49015-4178
Phone (269) 979-9400

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348099200000",
    "number": "1710081062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 BECKLEY RD",
            "address_2": "SUITE C",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490154178",
            "telephone_number": "269-979-9400",
            "fax_number": "269-979-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 LINN ST",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490101524",
            "telephone_number": "616-235-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST MICHIGAN RADIOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2012-09-20",
        "status": "A",
        "authorized_official_last_name": "BRUCE",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT/MEMBER",
        "authorized_official_telephone_number": "616-235-4800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301067478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allegan, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.