Organization Active NPI

Rivers Bend Imaging LLC

  • Diagnostic Radiology Physician
  • West Fargo, ND
National Provider Identifier
1912776246
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
RIVERS BEND IMAGING LLC
Practice address
350 23Rd Ave E Ste 102
West Fargo, ND 58078-7401
Phone
(701) 356-7444
NPI assigned
Dec 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Authorized official

Name
Steven Broadway, MD
Title
Owner
Phone
(701) 356-7444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

350 23Rd Ave E Ste 102
West Fargo, ND 58078-7401

Mailing address

350 23Rd Ave E Ste 102
West Fargo, ND 58078-7401

National Provider Directory

National Provider Directory

Locations

350 23rd Ave E
Ste 102
West Fargo, ND 58078
Phone (701) 235-1924

NPI Registry JSON

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

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1912776246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 23RD AVE E STE 102",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580787401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 23RD AVE E STE 102",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580787401",
            "telephone_number": "701-356-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERS BEND IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-28",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A",
        "authorized_official_last_name": "BROADWAY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-356-7444",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.