Penrad Imaging LLC
Penrad Imaging LLC is a healthcare organization registered as Radiology Clinic/Center in Monument, CO, holding Type 2 (organization) NPI 1730780172 since 2020. The authorized official on file is Derek Bergeson, Radiologist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1730780172 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Penrad Imaging LLC |
| Practice address | 17230 JACKSON CREEK PKWY STE 100, Monument, CO, 80132 |
| Phone | 7195931799 |
| Fax | 7192653794 |
| Enumeration date | 2020-11-03 |
| Last updated in NPPES | 2020-11-03 |
Authorized official
| Name | Derek Bergeson |
|---|---|
| Title | Radiologist |
| Phone | 7195931799 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QR0200X | Radiology Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Penrad Imaging LLC NPI: 1730780172 Taxonomy: 261QR0200X (Radiology Clinic/Center) Address: 17230 JACKSON CREEK PKWY STE 100, Monument, CO, 80132
Verify this record
Cross-check NPI 1730780172 against the authoritative CMS record: view Penrad 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 Penrad Imaging LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-11-03.