MR. WILLIAM DESMOND BEVEL RT (R) NPI 1386902492

Radiologic Technologist in Winston-salem, NC

Individual Male Radiologic Technologist

About WILLIAM BEVEL

William Bevel is a provider established in Winston-salem, North Carolina and his medical specialization is radiologic technologist. The NPI number of William Bevel is 1386902492 and was assigned on April 2012. The practitioner's primary taxonomy code is 247100000X with license number CRT 33615 (FL). The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI

1386902492

Provider NameMR. WILLIAM DESMOND BEVEL RT (R)
Provider Location Address1001 SOUTH MARSHALL STREET SUITE 1-71 MAILBOX #2 WINSTON-SALEM, NC 27101
Provider Mailing Address1001 SOUTH MARSHALL STREET SUITE 1-71 MAILBOX #2 WINSTON-SALEM, NC 27101
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date04-26-2012
Last Update Date04-26-2012

Primary Taxonomy

Taxonomy Code247100000X
ClassificationRadiologic Technologist
TypeTechnologists, Technicians & Other Technical Service Providers
License No.CRT 33615
License StateFL
Taxonomy DescriptionAn individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment.

Business Address

MR. WILLIAM DESMOND BEVEL RT (R)
1001 SOUTH MARSHALL STREET
SUITE 1-71 MAILBOX #2
WINSTON-SALEM, NC
ZIP 27101
Phone: (336) 602-3822
Fax: (800) 665-3903

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Mailing Address

MR. WILLIAM DESMOND BEVEL RT (R)
1001 SOUTH MARSHALL STREET
SUITE 1-71 MAILBOX #2
WINSTON-SALEM, NC
ZIP 27101
Phone: (336) 602-3822
Fax: (800) 665-3903

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1811109549MRS. EYVETTE BROWN ABBOTT
Individual
Counselor (Addiction (Substance Use Disorder))1001 SOUTH MARSHALL STREET STE. 221-22
WS, NC 27101
(336) 473-9933
1902974207SELECTIVE CHOICES FOR SERVICES, INC.
Organization
Community/Behavioral Health1001 SOUTH MARSHALL STREET BOX 8
WINSTON-SALEM, NC 27101
(336) 723-4222

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.