PRIME RADIOLOGY
NPI 1942559869
Radiology - Diagnostic Radiology in Port St. Lucie, FL

Q: What is Prime Radiology's NPI number?

The NPI number for Prime Radiology is 1942559869. It was assigned to this organization in the NPPES registry on September 6, 2012.

Q: What is Prime Radiology's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Prime Radiology was last updated on September 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since September 06, 2012

1700 SE HILLMORE DRIVE, PORT ST. LUCIE, FL 34952(772) 335-9600 Get Directions Write a Review

NPPES record last updated: September 6, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Prime Radiology NPPES

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

PRIME RADIOLOGY (NPI 1942559869) is a healthcare organization registered as a diagnostic radiology in Port St. Lucie, Florida and active in the NPI registry since September 2012. The organization lists Jeffrey S Bong, President, as its authorized official.

NPPES Registry Identity

NPI1942559869

Entity TypeOrganization

Primary Taxonomy2085R0202X

Legal Business NamePRIME RADIOLOGY

Location Address1700 SE HILLMORE DRIVEPort St. Lucie, FL 34952

Mailing Address3000 N. Ocean Drive Apt#34bWest Palm Beach, FL 33404 · (630) 430-5085

Phone(772) 335-9600

Organization SubpartNo

Authorized OfficialJeffrey S BongPresident · (630) 430-5085

Enumeration DateSeptember 6, 2012

✔ NPI 1942559869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in FL · OS 11058

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

1700 SE HILLMORE DRIVE, Port St. Lucie, FL 34952

Open in Google Maps ↗

Other Identifiers 13

Other2021303296GA · Medicare Ptan

Other114630005MO · Medicare Ptan

Other1881800621Individual Npi

Other8L24510TX · Medicare Ptan

OtherTXB137170TX · Medicare Ptan

Other8L14039TX · Medicare Ptan

OtherMC03179974NC · Medicare Ptan

OtherNC0317A334NC · Medicare Ptan

Other8L24508TX · Medicare Ptan

Other8L24509TX · Medicare Ptan

Other016496019KS · Medicare Ptan

Other229515YFP0MD · Medicare Ptan

OtherNC0317A427NC · Medicare Ptan

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 Prime Radiology's NPI number?

The NPI number for Prime Radiology is 1942559869. It was assigned to this organization in the NPPES registry on September 6, 2012.

Where is Prime Radiology located?

Prime Radiology is located at 1700 SE Hillmore Drive, Port St. Lucie, FL 34952. The listed phone number is (772) 335-9600.

What is Prime Radiology'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 Prime Radiology was last updated on September 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.