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BRIDGETON IMAGING, L.L.C.
NPI 1679877575
Radiology - Diagnostic Radiology in Bridgeton, MO

Active since January 06, 2011
12121 SAINT CHARLES ROCK RD, BRIDGETON, MO 63044(314) 291-5050(314) 291-8209 Get Directions Write a Review

NPPES record last updated: May 26, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bridgeton Imaging, L.l.c. NPPES

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

BRIDGETON IMAGING, L.L.C. (NPI 1679877575) is a healthcare organization registered as a diagnostic radiology in Bridgeton, Missouri and active in the NPI registry since January 2011. The organization lists Michael Kyle Burtnett, Svp Of Outpatient Services, Tenet, as its authorized official.

NPPES Registry Identity

NPI1679877575
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameBRIDGETON IMAGING, L.L.C.
Location Address12121 SAINT CHARLES ROCK RDBridgeton, MO 63044-2602
Mailing Address12121 Saint Charles Rock RdBridgeton, MO 63044-2602 · (314) 291-5050 · Fax (314) 291-8209
Phone(314) 291-5050
Fax(314) 291-8209
Organization SubpartNo
Authorized OfficialMichael Kyle BurtnettSvp Of Outpatient Services, Tenet · (469) 893-2153
Enumeration DateJanuary 6, 2011
Last NPPES UpdateMay 26, 2016
✔ NPI 1679877575 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.
12121 SAINT CHARLES ROCK RD, Bridgeton, MO 63044
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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

Other Providers at the Same Location NPPES

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

MISSOURI IMAGING, INC
Radiology (Diagnostic Radiology)
12121 SAINT CHARLES ROCK RD
BRIDGETON, MO 63044
St. Louis County (314) 291-5050

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 Bridgeton Imaging, L.L.C.'s NPI number?

The NPI number for Bridgeton Imaging, L.L.C. is 1679877575. It was assigned to this organization in the NPPES registry on January 6, 2011.

Where is Bridgeton Imaging, L.L.C. located?

Bridgeton Imaging, L.L.C. is located at 12121 Saint Charles Rock Rd, Bridgeton, MO 63044. The listed phone number is (314) 291-5050.

What is Bridgeton Imaging, L.L.C.'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 Bridgeton Imaging, L.L.C. was last updated on May 26, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.