NPI 1144457789 · live from the CMS NPI Registry
Stephen Lee Edward Bresson, M.D.
Radiology, Diagnostic Radiology in Jacksonville, FL. National Provider Identifier 1144457789, active.
NPI record
| NPI | 1144457789 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 807 Childrens Way, Jacksonville, FL 32207 |
| Practice phone | 904-697-3600 |
| Mailing address | 10140 Centurion Pkwy N Fl Provider, Jacksonville, FL 32256 |
| Enumerated | June 22, 2009 |
| Last updated | October 18, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | 52861 (TN) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | ME136947 (FL) |
| Radiology, Pediatric Radiology | 2085P0229X | C1-0012738 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.