Active NPI
National Radiology PLLC
- Diagnostic Radiology Physician
- Edina, MN
National Provider Identifier
1821091125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 1643
- Legal business name
- NATIONAL RADIOLOGY PLLC
- Practice address
- 4000 W 76TH St
Ste 160
Edina, MN 55435-5104 - Phone
- (952) 853-7226
- Fax
- (952) 831-7555
- NPI assigned
- May 31, 2005
- 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
- Mr. Gregory Bruce Snyder, M.D.
- Title
- Ceo
- Phone
- (952) 853-7226
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 1643 | MN | Primary |
Addresses
Primary practice location
4000 W 76TH St
Ste 160
Edina, MN 55435-5104
Mailing address
4000 W 76TH St
Ste 160
Edina, MN 55435-5104
Phone (952) 853-7226
National Provider Directory
National Provider DirectoryLocations
4000 W 76th St
Ste 160
Edina, MN 55435
Phone (952) 853-7226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1821091125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 W 76TH ST",
"address_2": "STE 160",
"city": "EDINA",
"state": "MN",
"postal_code": "554355104",
"telephone_number": "952-853-7226",
"fax_number": "952-831-7555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 W 76TH ST",
"address_2": "STE 160",
"city": "EDINA",
"state": "MN",
"postal_code": "554355104",
"telephone_number": "952-853-7226",
"fax_number": "952-831-7555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATIONAL RADIOLOGY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-05-31",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SNYDER",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "BRUCE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "952-853-7226",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "MN",
"license": "1643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.