Organization Name: | MISSISSIPPI MEDICAL IMAGING GROUP, PLLC |
NPI Number: | 1447680798 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTOPH ALEXANDER BERGMANN (SOLE MEMBER) |
Mailing Address: | 4934 Pecan Dr Belden |
State: | MS US |
Postal Code: | 388268715 |
Phone Number: | 6628401708 |
Fax Number: | |
NPI Enumeration Date: | 11/23/2013 |
NPI Last Update Date: | 11/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 16289 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |