Central Brevard Radiology Pa

LBN: Central Brevard Radiology Pa
Central Brevard Radiology Pa is an health care organization with primary practice located at 701 W Cocoa Beach Cswy , Cocoa Beach FL 32931-3585. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty. Central Brevard Radiology Pa can be contacted via phone (321) 799-7192, or through Hilleren, David J via phone (321) 799-7192.

Contact Information

Primary practice address
701 W Cocoa Beach Cswy Cocoa Beach FL 32931-3585
Phone: (321) 799-7192
Fax: (770) 237-4866
Website:
Map and Directions
Authorized official contact:
Name: Hilleren, David J Doctor of Medicine (MD)
Phone: (321) 799-7192

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X

Profile Details

NPI number 1932217759
LBN Legal business name Central Brevard Radiology Pa
DBA Doing business as
Authorized official Hilleren, David J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2006
Last updated Feb 9th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932217759 NPPES
Florida Other 39812 BLUE CROSS BLUE SHIELD
Florida Other CA4481 BLUE CROSS BLUE SHIELD
Florida MEDICAID 058771100 BLUE CROSS BLUE SHIELD

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