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RADIOLOGY REGIONAL CENTER, PA
NPI 1174299978
Radiology - Diagnostic Radiology in Bonita Springs, FL

Active since August 20, 2021
9776 BONITA BEACH RD SE STE 100, BONITA SPRINGS, FL 34135(239) 444-2200(239) 444-2210 Get Directions Write a Review

NPPES record last updated: August 20, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Radiology Regional Center, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RADIOLOGY REGIONAL CENTER, PA (NPI 1174299978) is a healthcare organization registered as a diagnostic radiology in Bonita Springs, Florida and active in the NPI registry since August 2021. The organization lists Brian A Krivisky, Ceo, as its authorized official.

NPPES Registry Identity

NPI1174299978
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameRADIOLOGY REGIONAL CENTER, PA
Location Address9776 BONITA BEACH RD SE STE 100Bonita Springs, FL 34135-4773
Mailing Address3660 BroadwayFort Myers, FL 33901-8005 · (239) 936-2316 · Fax (239) 834-6106
Phone(239) 444-2200
Fax(239) 444-2210
Organization SubpartNo
Authorized OfficialBrian A KriviskyCeo · (239) 936-2316
Enumeration DateAugust 20, 2021
NPPES CertifiedAugust 20, 2021
✔ NPI 1174299978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
9776 BONITA BEACH RD SE STE 100, Bonita Springs, FL 34135
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Other Identifiers 1

Medicaid054636414FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Radiology Regional Center, PA's NPI number?

The NPI number for Radiology Regional Center, PA is 1174299978. It was assigned to this organization in the NPPES registry on August 20, 2021.

Where is Radiology Regional Center, PA located?

Radiology Regional Center, PA is located at 9776 Bonita Beach Rd SE Ste 100, Bonita Springs, FL 34135. The listed phone number is (239) 444-2200.

What is Radiology Regional Center, PA's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Radiology Regional Center, PA was last updated on August 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.