NPI 1285894576 · live from the CMS NPI Registry
Rebecca Miller Baggett, M.D.
Radiology, Diagnostic Radiology in Springfield, IL. National Provider Identifier 1285894576, active.
NPI record
| NPI | 1285894576 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 3050 Montvale Dr Ste A, Springfield, IL 62704 |
| Practice phone | 217-726-8096 |
| Mailing address | 722 Newman Rd, New Bern, NC 28562 |
| Enumerated | June 11, 2008 |
| Last updated | October 28, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | 2019-02567 (NC) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | 036133207 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.