Healthcare Provider Details

I. General information

NPI: 1710417605
Provider Name (Legal Business Name): B&D RADIOLOGY PARTNERS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2017
Last Update Date: 06/14/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

452 ASHSTEADE LN
CINCINNATI OH
45255-3710
US

IV. Provider business mailing address

452 ASHSTEADE LN
CINCINNATI OH
45255-3710
US

V. Phone/Fax

Practice location:
  • Phone: 513-275-9729
  • Fax: 866-710-2373
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ERIC BRANDSER
Title or Position: OWNER
Credential: M.D.
Phone: 513-528-2669