Active NPI
Insight-Premier Health LLC
- Physiological Laboratory
- Brunswick, ME
National Provider Identifier
1962468405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- Legal business name
- INSIGHT-PREMIER HEALTH LLC
- Practice address
- 11 Medical Center Dr
Ste 1
Brunswick, ME 04011-2690 - Phone
- (207) 721-1110
- Fax
- (207) 721-3082
- NPI assigned
- Apr 24, 2006
- 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
- Mr. Brian G Drazba
- Title
- Senior V.P. & Chief Accounting Ofcr
- Phone
- (949) 282-6000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physiological Laboratory | 293D00000X | Primary |
Addresses
Primary practice location
11 Medical Center Dr
Ste 1
Brunswick, ME 04011-2690
Mailing address
PO Box 414025
Boston, MA 02241-4025
Phone (949) 282-6000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 470001124 | Other | ME | RAILROAD MEDICARE |
| 133960003 | Medicaid | ME |
Other names 1
- Open MRI of Brunswick
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
11 Medical Center Dr
Ste 1
Brunswick, ME 04011
Phone (207) 721-1110
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1831155001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145836800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194998400000",
"number": "1962468405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 414025",
"city": "BOSTON",
"state": "MA",
"postal_code": "022414025",
"telephone_number": "949-282-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 MEDICAL CENTER DR",
"address_2": "STE 1",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040112690",
"telephone_number": "207-721-1110",
"fax_number": "207-721-3082"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INSIGHT-PREMIER HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-24",
"last_updated": "2007-11-14",
"status": "A",
"authorized_official_last_name": "DRAZBA",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "SENIOR V.P. & CHIEF ACCOUNTING OFCR",
"authorized_official_telephone_number": "949-282-6000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "470001124",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "133960003",
"state": "ME"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Open MRI of Brunswick",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brunswick, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.