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Broad Park Imaging, LLC

Radiology Clinic/Center in Mansfield, TX · enumerated 2010 · authorized official Jacki Bailleu, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1467782052

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Registry record

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 (682) 200-2517
Fax (682) 200-2518
Enumeration date Jan 5, 2010
Last updated in NPPES Jan 5, 2010

Taxonomy & classification

261QR0200X Radiology Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Jacki Bailleu
Title Administrator
Phone (817) 690-8873

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.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Broad Park Imaging, LLC?
Broad Park Imaging, LLC is registered in NPPES as a Radiology Clinic/Center (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-01-05.