Huntsville Breast Center PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

4523 Issued in AL

Legal business name

HUNTSVILLE BREAST CENTER PC

Practice address

4030 Balmoral Dr SW
Huntsville, AL 35801-6402

Phone

(256) 880-8070

Fax

(256) 883-3060

NPI assigned

Apr 13, 2007

Last updated

Oct 25, 2010By 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

Dr. Valerie M Johnson, MDNPI 1508945155

Title

Physician Owner

Phone

(256) 880-8070

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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.

• Valerie M Johnson, M.D.

  • Diagnostic Radiology Physician
  • Huntsville, AL
  • NPI 1508945155
  Authorized official Same address or phone

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287964800000",
    "number": "1801010301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 BALMORAL DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016402",
            "telephone_number": "256-880-8070",
            "fax_number": "256-883-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 BALMORAL DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016402",
            "telephone_number": "256-880-8070",
            "fax_number": "256-883-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTSVILLE BREAST CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2010-10-25",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "256-880-8070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "4523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD AL",
            "identifier": "51089025",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529102100",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Huntsville Al Operations LLC
• Huntsville Anesthesiology Consultants PC
• Huntsville Behavior Associates
• Huntsville Behavior Associates
• Huntsville Blue Spring Dental P.C.
• Huntsville Cardiac Anesthesia
• Huntsville Cardiothoracic Surgeons, PC
• Huntsville Cardiovascular Clinic, P. C.
• Huntsville Cardiovascular Clinic, P.C.
• Huntsville Careplus, LLC

• Diagnostic Radiology Physician in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Diagnostic Radiology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.