Organization
SPRINGFIELD RADIOLOGY ASSOCIATES, PC
Active
Other names
IMAGING CONSULTANTS OF KENTUCKY
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM J. BRANNICK MD (PRESIDENT)
(931) 647-5034
Entity
Organization
Contact information
Practice address
250 PARK STREET, BOWLING GREEN, KY 42101-1760
(270) 796-6500
Mailing address
PO BOX 3125, CLARKSVILLE, TN 37043-3125
(931) 647-5034
(931) 552-6663
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000269735
ANTHEM BCBS
KY
01
—
020289899
DEPT. OF LABOR
—
05
—
3375149
—
TN
01
—
4042327
BCBS OF TN
TN
05
—
65940595
—
KY
01
—
7916327
AETNA
—
01
—
CJ8639
RR MEDICARE
TN
01
—
DO0012
RR MEDICARE
KY
Enumeration date
01/10/2006
Last updated
09/16/2013
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