Insight Radiology PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

CO 18311 Issued in CO

Legal business name

INSIGHT RADIOLOGY PC

Practice address

410 Benedicta Ave
Trinidad, CO 81082-2005

Phone

(719) 846-8081

Fax

(719) 846-8082

NPI assigned

Jul 22, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

William J Bufkin, MD

Title

Owner

Phone

(719) 473-1766

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Damian N Mizera, M.D.

  • Orthopaedic Surgery Physician
  • Trinidad, CO
  • NPI 1750484838
  NPD (past)

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596067200000",
    "number": "1912349754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 RED WING TER",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063239",
            "telephone_number": "719-473-1766",
            "fax_number": "970-667-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 BENEDICTA AVE",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810822005",
            "telephone_number": "719-846-8081",
            "fax_number": "719-846-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT RADIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A",
        "authorized_official_last_name": "BUFKIN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-473-1766",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "CO 18311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99888271",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Huerfano Las Animas Area Council of Governments
• Huerfano/Las Animas Area Council of Governments
• Megan E Huffman
• Sherri Incitti, PTA
• Innova Emergency Medical Associates PC
• Miki Jo Jenkins, PT, DPT
• Joseph P Jimenez, M.D.
• Amanda Inez Johnson, LPC
• Joellen Johnston, MASSAGE THERAPY
• Mandy Ann Jordan, CAC II

• All providers in Trinidad, CO
• Diagnostic Radiology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.

Verify at the official NPI Registry.