NPI 1356791065 · live from the CMS NPI Registry
James Grier Bomar, MD
Radiology, Diagnostic Radiology in Winston Salem, NC. National Provider Identifier 1356791065, active.
NPI record
| NPI | 1356791065 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 1 Medical Center Blvd, Winston Salem, NC 27157 |
| Practice phone | 336-716-2011 |
| Enumerated | June 14, 2016 |
| Last updated | July 24, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | 91076 (SC) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | 228005 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.