Broad Park Imaging, LLC
Broad Park Imaging, LLC is a healthcare organization registered as Radiology Clinic/Center in Mansfield, TX, holding Type 2 (organization) NPI 1467782052 since 2010. The authorized official on file is Jacki Bailleu, Administrator.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1467782052 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Broad Park Imaging, LLC |
| Practice address | 1750 BROAD PARK CIR S, SUITE 300, Mansfield, TX, 76063 |
| Phone | 6822002517 |
| Fax | 6822002518 |
| Enumeration date | 2010-01-05 |
| Last updated in NPPES | 2010-01-05 |
Authorized official
| Name | Jacki Bailleu |
|---|---|
| Title | Administrator |
| Phone | 8176908873 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QR0200X | Radiology Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Broad Park Imaging, LLC NPI: 1467782052 Taxonomy: 261QR0200X (Radiology Clinic/Center) Address: 1750 BROAD PARK CIR S, SUITE 300, Mansfield, TX, 76063
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1871820423 | Breast Diagnostics, PA | Organization | Specialist | Mansfield, TX |
| 1497198147 | Elite View Imaging, LLC | Organization | Radiology Clinic/Center | Mansfield, TX |
Verify this record
Cross-check NPI 1467782052 against the authoritative CMS record: view Broad Park Imaging, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Broad Park Imaging, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2010-01-05.