Active NPI
Bib, LLC
- Diagnostic Radiology Physician
- Little Rock, AR
National Provider Identifier
1952986259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- BIB, LLC
- Doing business as
- Baptist Health Mobile Imaging Services
- Practice address
- 9500 Kanis Rd
Little Rock, AR 72205-6324 - Phone
- (501) 202-2000
- NPI assigned
- Mar 17, 2021
- 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
- Will Rusher
- Title
- Ceo
- Phone
- (501) 812-7227
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
9500 Kanis Rd
Little Rock, AR 72205-6324
Mailing address
11001 Executive Center Dr Ste 200
Little Rock, AR 72211-4393
Phone (501) 812-7800
Other names 1
- Baptist Health Mobile Imaging Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210503001413 | AR | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 9032121645 | Practice locations: Little Rock, AR |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider DirectoryMember of 1
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": "1615939200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615939200000",
"number": "1952986259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11001 EXECUTIVE CENTER DR STE 200",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722114393",
"telephone_number": "501-812-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 KANIS RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722056324",
"telephone_number": "501-202-2000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIB, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-17",
"last_updated": "2021-03-17",
"certification_date": "2021-03-17",
"status": "A",
"authorized_official_last_name": "RUSHER",
"authorized_official_first_name": "WILL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "501-812-7227"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Baptist Health Mobile Imaging Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.