PENRAD IMAGING LLC
NPI 1770105900
Clinic/Center - Radiology in Colorado Springs, CO

Active since May 11, 2020
4925 N NEVADA AVE, COLORADO SPRINGS, CO 80918(719) 593-1799(719) 265-3794 Get Directions Write a Review

NPPES record last updated: May 11, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Penrad Imaging Llc NPPES

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

PENRAD IMAGING LLC (NPI 1770105900) is a healthcare organization registered as a radiology in Colorado Springs, Colorado and active in the NPI registry since May 2020. The organization lists Derek Scott Bergeson, Radiologist, as its authorized official.

NPPES Registry Identity

NPI1770105900
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NamePENRAD IMAGING LLC
Location Address4925 N NEVADA AVEColorado Springs, CO 80918-8600
Mailing Address1390 Kelly Johnson BlvdColorado Springs, CO 80920-3908 · (719) 593-1799 · Fax (719) 265-3794
Fax(719) 265-3794
Organization SubpartNo
Authorized OfficialDerek Scott BergesonRadiologist · (719) 593-1799
Enumeration DateMay 11, 2020
NPPES CertifiedMay 11, 2020
NPI 1770105900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
4925 N NEVADA AVE, Colorado Springs, CO 80918

Other Providers at the Same Location NPPES 16

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

Nurse Practitioner (Family)
4925 N NEVADA AVE
COLORADO SPRINGS, CO 80918
Orthopaedic Surgery
4925 N NEVADA AVE
COLORADO SPRINGS, CO 80918
Surgery
4925 N NEVADA AVE, ROOM 416
COLORADO SPRINGS, CO 80918
Dietitian, Registered
4925 N NEVADA AVE
COLORADO SPRINGS, CO 80918
Orthopaedic Surgery (Sports Medicine)
4925 N NEVADA AVE
COLORADO SPRINGS, CO 80918
Family Medicine (Sports Medicine)
4925 N NEVADA AVE
COLORADO SPRINGS, CO 80918
Orthopaedic Surgery
4925 N NEVADA AVE
COLORADO SPRINGS, CO 80918
Physician Assistant (Surgical)
4925 N NEVADA AVE
COLORADO SPRINGS, CO 80918

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 Penrad Imaging LLC's NPI number?

The NPI number for Penrad Imaging LLC is 1770105900. It was assigned to this organization in the NPPES registry on May 11, 2020.

Where is Penrad Imaging LLC located?

Penrad Imaging LLC is located at 4925 N Nevada Ave, Colorado Springs, CO 80918. The listed phone number is (719) 593-1799.

What is Penrad 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 Penrad Imaging LLC was last updated on May 11, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.