Organization
ASHEVILLE MRI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN A BRAZIL (CHIEF ADMINISTRATIVE OFFICER)
(828) 213-0799
Entity
Organization
Contact information
Practice address
222 ASHELAND AVE, ASHEVILLE, NC 28801-4016
(828) 213-1890
(828) 213-0871
Mailing address
PO BOX 427, INDIANAPOLIS, IN 46206-0427
(877) 685-2164
(317) 705-5060
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0222C
BLUE CROSS BLUE SHIELD NC
NC
01
—
1671716
UNITED HEALTHCARE
NC
05
—
890112E
—
NC
Enumeration date
05/18/2006
Last updated
02/26/2013
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