OrganizationActive
Broad Park Imaging, LLC
NPI 1467782052 · Radiology Clinic/Center · Mansfield, TX
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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.