Active NPI
Brighton Radiology Associates, P.C.
- Diagnostic Radiology Physician
- Beaver, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- BRIGHTON RADIOLOGY ASSOCIATES, P.C.
- Practice address
- 1000 Dutch Ridge Rd
The Medical Center
Beaver, PA 15009-9727 - Phone
- (724) 773-4567
- Fax
- (724) 728-9729
- NPI assigned
- Jan 4, 2006
- Last updated
- May 2, 2008
- 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
- Jackie Lee Simmons
- Title
- Executive Director
- Phone
- (724) 728-6284
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
1000 Dutch Ridge Rd
The Medical Center
Beaver, PA 15009-9727
Mailing address
300 S Walnut LN
Suite 100
Beaver, PA 15009-1739
Phone (724) 728-6539
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0562207 | Medicaid | OH | |
| 3810003808 | Medicaid | WV | |
| 0006873370004 | Medicaid | PA | |
| 0006873370 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, PA, CA
Enrollment records 3
National Provider Directory
National Provider Directory- Tax ID family
- Brighton Radiology
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Radiology Practitioner Assistant
- Monaca, PA
- NPI 1912256728
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Locations
5000 Industrial Blvd
Aliquippa, PA 15001
Phone (724) 775-4242
3572 Brodhead Rd
Ste 201
Monaca, PA 15061
Phone (724) 728-6284
3582 Brodhead Rd
Ste 204
Monaca, PA 15061
Phone (724) 728-6284
Practitioners & affiliated clinicians
Practitioners 38
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.
-
- Diagnostic Radiology Physician
- Beaver, PA
- NPI 1275520470
-
- Vascular & Interventional Radiology Physician
- Monaca, PA
- NPI 1376687954
Diagnostic Radiology, OH
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209686400000",
"number": "1881672434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 S WALNUT LN",
"address_2": "SUITE 100",
"city": "BEAVER",
"state": "PA",
"postal_code": "150091739",
"telephone_number": "724-728-6539",
"fax_number": "724-728-7416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 DUTCH RIDGE RD",
"address_2": "THE MEDICAL CENTER",
"city": "BEAVER",
"state": "PA",
"postal_code": "150099727",
"telephone_number": "724-773-4567",
"fax_number": "724-728-9729"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIGHTON RADIOLOGY ASSOCIATES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-04",
"last_updated": "2008-05-02",
"status": "A",
"authorized_official_last_name": "SIMMONS",
"authorized_official_first_name": "JACKIE",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "724-728-6284"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0562207",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810003808",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006873370004",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006873370",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beaver, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.