Bennett Gray in Edwardsville - Diagnostic Radiology
Bennett Gray - NPI 1376637132
Bennett Gray is a Diagnostic Radiology in Edwardsville, Illinois. Bennett Gray practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Bennett Gray is 1376637132. The last update date is 2012-04-16.
Bennett Gray's current location address is 77 E Southcrest Cir, Edwardsville, Illinois. You can contact this provider via phone number 6186590457. The mailing address for Bennett Gray is 77 E Southcrest Cir, Edwardsville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bennett Gray |
|---|---|
| Address | 77 E Southcrest Cir, Edwardsville, Illinois |
| Phone Number | 6186590457 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1376637132 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2012-04-16 |
Provider Mailing Address Detail
| Address | 77 E Southcrest Cir |
|---|---|
| City | Edwardsville |
| State | Illinois (IL) |
| Post Code | 620253147 |
| Phone Number | 6186590457 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 430702 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200364700A | KS | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Bennett Gray by the Centers for Medicare & Medicaid Services?
The Bennett Gray has been issued the NPI (National Provider Identifier) 1376637132, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Bennett Gray is geographically located?
The Bennett Gray is physically situated at the following location: 77 E Southcrest Cir, Edwardsville, IL, 620253147.
What is Bennett Gray's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Bennett Gray is Diagnostic Radiology, and the corresponding taxonomy classification code for this specialized field is 2085R0202X.
On what date was the 1376637132 assigned to Bennett Gray?
The Bennett Gray was issued its 1376637132 on 2006-10-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Bennett Gray most recently updated or revised?
The details related to Bennett Gray, including its address, specialty, and other relevant information, were last updated or revised on 2012-04-16.
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