BROAD PARK IMAGING, LLC
NPI 1467782052
Clinic/Center - Radiology in Mansfield, TX

Q: What is Broad Park Imaging, LLC's NPI number?

The NPI number for Broad Park Imaging, LLC is 1467782052. It was assigned to this organization in the NPPES registry on January 5, 2010.

Q: What is Broad Park Imaging, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

Active since January 05, 2010

1750 BROAD PARK CIR S, SUITE 300, MANSFIELD, TX 76063(682) 200-2517(682) 200-2518 Get Directions Write a Review

NPPES record last updated: January 5, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Broad Park Imaging, Llc NPPES

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

BROAD PARK IMAGING, LLC (NPI 1467782052) is a healthcare organization registered as a radiology in Mansfield, Texas and active in the NPI registry since January 2010. The organization lists Jacki Bailleu, Administrator, as its authorized official.

NPPES Registry Identity

NPI1467782052

Entity TypeOrganization

Primary Taxonomy261QR0200X

Legal Business NameBROAD PARK IMAGING, LLC

Location Address1750 BROAD PARK CIR S, SUITE 300Mansfield, TX 76063-7832

Mailing Address1750 Broad Park Cir S, Suite 300Mansfield, TX 76063-7832 · (682) 200-2517 · Fax (682) 200-2518

Phone(682) 200-2517

Fax(682) 200-2518

Organization SubpartNo

Authorized OfficialJacki BailleuAdministrator · (817) 690-8873

Enumeration DateJanuary 5, 2010

✔ NPI 1467782052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities

Taxonomy Code261QR0200X

1750 BROAD PARK CIR S, Mansfield, TX 76063

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELITE VIEW IMAGING, LLC

Clinic/Center (Radiology)

1750 BROAD PARK CIR S, SUITE 300
MANSFIELD, TX 76063

Tarrant County (682) 200-2517

BREAST DIAGNOSTICS, PA

Specialist

1750 BROAD PARK CIR S, SUITE 300
MANSFIELD, TX 76063

Tarrant County (817) 749-2000

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 Broad Park Imaging, LLC's NPI number?

The NPI number for Broad Park Imaging, LLC is 1467782052. It was assigned to this organization in the NPPES registry on January 5, 2010.

Where is Broad Park Imaging, LLC located?

Broad Park Imaging, LLC is located at 1750 Broad Park Cir S Suite 300, Mansfield, TX 76063. The listed phone number is (682) 200-2517.

What is Broad Park Imaging, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

When was this NPI record last updated?

The NPPES record for Broad Park Imaging, LLC was last updated on January 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.