NPI 1235524844 · live from the CMS NPI Registry
Gideon Bollino
Radiology, Body Imaging in Raleigh, NC. National Provider Identifier 1235524844, active.
NPI record
| NPI | 1235524844 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Body Imaging 2085B0100X |
| Practice location | 3949 Browning Pl, Raleigh, NC 27609 |
| Practice phone | 919-787-7411 |
| Enumerated | March 31, 2015 |
| Last updated | March 29, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | MD469815 (PA) |
| Radiology, Body Imaging primary | 2085B0100X | 2021-00464 (NC) |
| Radiology, Diagnostic Radiology | 2085R0202X | 2021-00464 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.