Active NPI
Buford Road Imaging LLC
- Radiology Clinic/Center
- Richmond, VA
National Provider Identifier
1851338222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- License
- 010144531
- Legal business name
- BUFORD ROAD IMAGING LLC
- Practice address
- 2612 Buford Road
Richmond, VA 23235-3422 - Phone
- (804) 864-1895
- Fax
- (804) 377-3419
- NPI assigned
- Jun 2, 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
- Mr. Robert F Carrel
- Title
- Authorized Official
- Phone
- (804) 267-2958
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Magnetic Resonance Imaging (MRI) Clinic/Center | 261QM1200X | |||
| Radiology Clinic/Center | 261QR0200X | 010144531 | VA | Primary |
| Mammography Clinic/Center | 261QR0206X |
Addresses
Primary practice location
2612 Buford Road
Richmond, VA 23235-3422
Mailing address
2612 Buford Road
Richmond, VA 23235-3422
Phone (804) 864-1895
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10144531 | Medicaid | VA | |
| 442572 | Other | VA | ANTHEM BCBS |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Richmond, VA
- NPI 1366689747
Member Of
-
- Diagnostic Radiology Physician
- Richmond, VA
- NPI 1447297577
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1450051200000",
"number": "1851338222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2612 BUFORD ROAD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232353422",
"telephone_number": "804-864-1895",
"fax_number": "804-377-3419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2612 BUFORD ROAD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232353422",
"telephone_number": "804-864-1895",
"fax_number": "804-377-3419"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUFORD ROAD IMAGING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-02",
"last_updated": "2015-12-14",
"status": "A",
"authorized_official_last_name": "CARREL",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "804-267-2958",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QM1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": "VA",
"license": "010144531",
"primary": true
},
{
"code": "261QR0206X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mammography",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10144531",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "442572",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.