Active NPI
Brad Elg
- Radiologic Technologist
- Yuma, AZ
National Provider Identifier
1710427422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiologic Technologist
- License
- 31051
- Practice address
- 641 E 25TH PL
Yuma, AZ 85365-2701 - Phone
- (928) 446-8352
- NPI assigned
- Feb 28, 2017
- Last updated
- Feb 28, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | 31051 | AZ | Primary |
Addresses
Primary practice location
641 E 25TH PL
Yuma, AZ 85365-2701
Mailing address
641 E 25TH PL
Yuma, AZ 85365-2701
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31051 | AZ | MD | Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488240000000",
"number": "1710427422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "641 E 25TH PL",
"city": "YUMA",
"state": "AZ",
"postal_code": "853652701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "641 E 25TH PL",
"city": "YUMA",
"state": "AZ",
"postal_code": "853652701",
"telephone_number": "928-446-8352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELG",
"first_name": "BRAD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-02-28",
"last_updated": "2017-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "AZ",
"license": "31051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yuma, AZ
- Mahmoud Elbehery
- Jay Eldridge, P.T.
- Eleganz Medical Spa PLLC (Eleganz Medical Spa & Integrative Medicine)
- Joseph Eleid, MD
- Rocio A Eleid, M.D.
- Sagi Hassan Elhassan
- Elicent Osteopractic Physical Therapy LLC
- Elite Physical Therapy and Pilates Rehabilitation PC
- Sofia Elizarraras, MS,BHT, CCST-I
- Brenda Lynn Ellingson, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.