NPI age
16 years
Enumerated 2010-01-05
● Active Type 2 · Organization
Broad Park Imaging, Llc
Broad Park Imaging, Llc is 1 of 640 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bailleu
Administrator
Last NPPES update
2010-01-05
Source: monthly bulk 2026-05
How this organization compares
Across 640 active clinic/center providers in Texas.
NPI age
16 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2010 → 2026
2010-01Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
1750 Broad Park Cir S, Suite 300
Mansfield, TX 760637832
Mailing address
1750 Broad Park Cir S, Suite 300
Mansfield, TX 760637832
Authorized official
Jacki Bailleu, BS
Administrator
📞 8176908873
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.