Integrity Diagnostic Network, LLC

Primary specialty

Electrodiagnostic Medicine PhysicianTaxonomy code 204R00000X

Legal business name

INTEGRITY DIAGNOSTIC NETWORK, LLC

Practice address

140 Johnny Mercer Blvd Ste 10a
Savannah, GA 31410-2169

Phone

(470) 809-1581

NPI assigned

Jun 16, 2021

Last updated

Jun 16, 2021By 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. Eric Charles Bull, PT, DSCNPI 1043278526

Title

Ceo

Phone

(470) 809-1581

Specialties & licenses 1

Addresses

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.

• Eric C Bull, PT,DSC.,MPT,MMT,OCS

  • Clinical Electrophysiology Physical Therapist
  • Rincon, GA
  • NPI 1043278526
  NPD Authorized official

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1881262673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 TEAKWOOD DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314101625",
            "telephone_number": "470-809-1581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 JOHNNY MERCER BLVD STE 10A",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314102169",
            "telephone_number": "470-809-1581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY DIAGNOSTIC NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "BULL",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "470-809-1581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DSC"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "",
            "desc": "Electrodiagnostic Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Electrodiagnostic Medicine Physician in Savannah, GA
• Providers in Savannah, GA by specialty
• Electrodiagnostic Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.