Organization Active NPI

Buford Road Imaging LLC

  • Radiology Clinic/Center
  • Richmond, VA
National Provider Identifier
1851338222
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
010144531 Issued in VA
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

Updated by the provider on Dec 14, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
10144531MedicaidVA
442572OtherVAANTHEM BCBS

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

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.

Verify at the official NPI Registry.