Provider profile

Individual

Brian Richard Decosta

Radiology in Jackson, TN. NPI 1689620627, listed in the CMS NPI Registry since 05/25/2006. Bills Medicare.

NPI 1689620627Specialty RadiologyEnumerated 05/25/2006
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Registry and Medicare facts

Practice location
367 Hospital Blvd, Jackson, TN 38305
CMS NPI Registry
Phone
(731) 300-0352
CMS NPI Registry
Specialty
Radiology
CMS NPI Registry
Subspecialty
Diagnostic Radiology
CMS NPI Registry
Enumeration date
05/25/2006
CMS NPI Registry
Bills Medicare
Yes
CMS Medicare 2024
Medicare patients
5,376 Part B
CMS Medicare 2024

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