Individual
JAMES W BACKSTROM
Active
Individual
JAMES W BACKSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
0101040755
VA
2085R0202X
Diagnostic Radiology Physician
0101040755
VA
2085R0202X
Diagnostic Radiology Physician
Primary
MD418526
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018975900009
—
PA
05
—
0018975900010
—
PA
01
—
1387766
HIGHMARK BCBS
PA
01
—
1387766
HIGHMARK
—
01
—
P00663923
RAILROAD MEDICARE
PA
Enumeration date
02/23/2006
Last updated
03/03/2025
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