Organization
SPRINGFIELD RADIOLOGY ASSOCIATES, PC
Active
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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