Active NPI
Berland Imaging Inc
- Diagnostic Radiology Physician
- Ste Genevieve, MO
National Provider Identifier
1790710838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- BERLAND IMAGING INC
- Practice address
- 802 Ste Genevieve Dr
Ste Genevieve, MO 63670 - Phone
- (573) 883-7720
- NPI assigned
- Jul 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert D Seelig, MD
- Title
- President
- Phone
- (314) 567-1656
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
802 Ste Genevieve Dr
Ste Genevieve, MO 63670
Mailing address
774 N New Ballas Rd
St Louis, MO 63141-6716
Phone (314) 567-1656
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2148 | Other | B CHOICE | |
| 2148 | Other | MO BLUE | |
| 36149 | Other | GHP | |
| 22875 | Other | HEALTHCARE USA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202860800000",
"number": "1790710838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "774 N NEW BALLAS RD",
"city": "ST LOUIS",
"state": "MO",
"postal_code": "631416716",
"telephone_number": "314-567-1656",
"fax_number": "314-567-0622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 STE GENEVIEVE DR",
"city": "STE GENEVIEVE",
"state": "MO",
"postal_code": "63670",
"telephone_number": "573-883-7720"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BERLAND IMAGING INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-11",
"last_updated": "2008-02-13",
"status": "A",
"authorized_official_last_name": "SEELIG",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "314-567-1656",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "B CHOICE",
"identifier": "2148",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MO BLUE",
"identifier": "2148",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHP",
"identifier": "36149",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHCARE USA",
"identifier": "22875",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ste Genevieve, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.