Brick Xray LLC

Primary specialty

Mammography Clinic/CenterTaxonomy code 261QR0206X

License

MA59193 Issued in NJ

Legal business name

BRICK XRAY LLC

Practice address

1608 Route 88 W
Suite 102
Brick, NJ 08724-3009

Phone

(732) 349-8454

Fax

(732) 349-0266

NPI assigned

Oct 16, 2008

Last updated

Oct 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Duc Thi Tran, MDNPI 1073518684

Title

Owner

Phone

(732) 349-8454

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Duc Thi Tran, M.D.

  • Specialist
  • Brick, NJ
  • NPI 1073518684
  Authorized official Same address or phone

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1770735177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 ROUTE 88 W",
            "address_2": "SUITE 102",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243009",
            "telephone_number": "732-349-8454",
            "fax_number": "732-349-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 ROUTE 88 W",
            "address_2": "SUITE 102",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243009",
            "telephone_number": "732-349-8454",
            "fax_number": "732-349-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRICK XRAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "DUC",
        "authorized_official_middle_name": "THI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-349-8454",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "NJ",
            "license": "MA59193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brick Township Endodontics LLC
• Brick Women's Physicians
• Bricktown Medical Group PA
• Bricktowne Pharmacy LLC (Personal Touch Pharmacy)
• Bridges Behavioral Health Care
• Brielle Orthopedics PA
• Robbie Ann Bright-Poole, MS CCCA

• Mammography Clinic/Center in Brick, NJ
• Providers in Brick, NJ by specialty
• Mammography Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; 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.