BETHESDA RESOURCES INC — NPI 1639209588 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Radiation Oncology in CLARKSDALE, MS)

CMS-1500 Box 24J / 33a • NPI

1639209588

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

2085R0001X (CMS 92)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Radiation Oncology

Box 32 Service Location & ZIP+4

581 MEDICAL DR, CLARKSDALE, MS, 38614-6733

✓ 9-Digit EDI 837 ZIP+4 (38614-6733)

Practice Phone & Referral Fax

(662) 624-8731

Fax: (662) 627-4674

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1639209588 (BETHESDA RESOURCES INC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1639209588` (NPI-2 Organization / Facility)
Provider / Legal Name	BETHESDA RESOURCES INC
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Radiation Oncology NUCC Code: `2085R0001X` (N/A)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	581 MEDICAL DR, CLARKSDALE, MS, 38614-6733
Practice Telephone / Fax	Tel: (662) 624-8731 \| Fax: (662) 627-4674
Administrative Mailing Address	505 W LOUISE AVE, MUSCLE SHOALS, AL, 35661-1517
Enumeration & Last Sync	Enumerated: 2007-03-07 \| CMS Record Updated: 2008-10-20
Authorized Official	CRAIG WEEKS (VP Finance)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

581 MEDICAL DR, CLARKSDALE, MS, 38614-6733

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Plain-English Taxonomy & CMS Crosswalk (2085R0001X)

What Does Taxonomy Code 2085R0001X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2085R0001X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Radiation Oncology"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 92 (Physician/Radiation Oncology)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Allopathic & Osteopathic Physicians — Radiology, Radiation Oncology for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BETHESDA RESOURCES INC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`2085R0001X` — Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Radiation Oncology	State: MS \| License: `17137` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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BETHESDA RESOURCES INC (NPI #1639209588)