OrganizationActive
Broad Park Imaging, LLC
NPI 1467782052 · Radiology Clinic/Center · Mansfield, TX
Broad Park Imaging, LLC is a Radiology Clinic/Center organization in Mansfield, TX (NPI 1467782052).
Provider details
- NPI number
- 1467782052
- Entity type
- Organization
- Primary specialty
- Radiology Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jacki Bailleu, Administrator(817) 690-8873
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1750 Broad Park Cir S
Suite 300
Mansfield, TX 76063-7832
Phone: (682) 200-2517
Fax: (682) 200-2518
Street-level locationGet directions
Mailing address
1750 Broad Park Cir S
Mansfield, TX 76063-7832
Registry dates
- Enumerated
- 2010-01-05
- Last updated
- 2010-01-05
Frequently asked questions
- What is Broad Park Imaging, LLC's NPI number?
- Broad Park Imaging, LLC's National Provider Identifier (NPI) is 1467782052, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Broad Park Imaging, LLC?
- Broad Park Imaging, LLC is classified in the NPPES registry as Radiology Clinic/Center (Ambulatory Health Care Facilities).
- Where is Broad Park Imaging, LLC located?
- Broad Park Imaging, LLC's practice location on file with NPPES is 1750 Broad Park Cir S, Mansfield, TX 76063-7832.
- What is Broad Park Imaging, LLC's phone number?
- The practice phone number listed in the NPPES registry for Broad Park Imaging, LLC is (682) 200-2517.
- Who is the authorized official for Broad Park Imaging, LLC?
- The authorized official listed on Broad Park Imaging, LLC's NPPES record is Jacki Bailleu, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Broad Park Imaging, LLC's NPI active?
- Yes — Broad Park Imaging, LLC's NPI (1467782052) is active in the NPPES registry as of the last update on 2010-01-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.