BRADFORD RADIOLOGY PC
NPI 1669056669
Radiology - Diagnostic Radiology in Bradford, PA

Active since May 06, 2021
116 INTERSTATE PKWY, BRADFORD, PA 16701(814) 368-4143 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 21, 2023, May 6, 2021 (2 updates tracked since 2021).

About Bradford Radiology Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRADFORD RADIOLOGY PC (NPI 1669056669) is a healthcare organization registered as a diagnostic radiology in Bradford, Pennsylvania and active in the NPI registry since May 2021. The organization lists Kenneth Pearsen, Md, as its authorized official.

NPPES Registry Identity

NPI1669056669
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameBRADFORD RADIOLOGY PC
Location Address116 INTERSTATE PKWYBradford, PA 16701-1036
Mailing Address111 N Maplemere Rd Ste 120Williamsville, NY 14221-3178 · (716) 836-4646
Organization SubpartNo
Authorized OfficialKenneth PearsenMd · (716) 836-4646
Enumeration DateMay 6, 2021
Last NPPES UpdateAugust 21, 20232 updates tracked since enumeration
NPPES CertifiedAugust 21, 2023
✔ NPI 1669056669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
116 INTERSTATE PKWY, Bradford, PA 16701

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bradford Radiology Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

27

Medicare enrollment records show 27 clinicians reassign Medicare billing to Bradford Radiology PC, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Nearest to this location (20)

See all 27
Diagnostic Radiology
NPI 1023016060
111 N MAPLEMERE RD STE 120
Williamsville, NY 14221
(716) 836-4646
✔ PECOS✔ Accepts Medicare71 mi
Diagnostic Radiology
NPI 1093094005
111 N MAPLEMERE RD STE 120
Williamsville, NY 14221
(716) 836-4646
✔ PECOS✔ Accepts Medicare71 mi
Diagnostic Radiology
NPI 1013479039
111 N MAPLEMERE RD STE 120
Williamsville, NY 14221
(716) 836-4646
✔ PECOS✔ Accepts Medicare71 mi
Diagnostic Radiology
NPI 1861878837
111 N MAPLEMERE RD STE 120
Williamsville, NY 14221
(716) 836-4646
✔ PECOS✔ Accepts Medicare71 mi
Diagnostic Radiology
NPI 1154764918
111 N MAPLEMERE RD STE 120
Williamsville, NY 14221
(716) 836-4646
✔ PECOS✔ Accepts Medicare71 mi
Diagnostic Radiology
NPI 1740422708
111 N MAPLEMERE RD STE 120
Williamsville, NY 14221
(716) 836-4646
✔ PECOS✔ Accepts Medicare71 mi
Diagnostic Radiology
NPI 1427336957
111 N MAPLEMERE RD STE 120
Williamsville, NY 14221
(716) 836-4646
✔ PECOS✔ Accepts Medicare71 mi
Diagnostic Radiology
NPI 1063875763
111 N MAPLEMERE RD STE 120
Williamsville, NY 14221
(716) 836-4646
✔ PECOS✔ Accepts Medicare71 mi
Diagnostic Radiology
NPI 1124345566
111 N MAPLEMERE RD STE 120
Williamsville, NY 14221
(716) 836-4646
✔ PECOS✔ Accepts Medicare71 mi
Diagnostic Radiology
NPI 1346367935
111 N MAPLEMERE RD STE 120
Williamsville, NY 14221
(716) 836-4646
✔ PECOS✔ Accepts Medicare71 mi
Diagnostic Radiology
NPI 1740247600
111 N MAPLEMERE RD STE 120
Williamsville, NY 14221
(716) 836-4646
✔ PECOS✔ Accepts Medicare71 mi
Diagnostic Radiology
NPI 1225422504
111 N MAPLEMERE RD STE 120
Williamsville, NY 14221
(716) 836-4646
✔ PECOS✔ Accepts Medicare71 mi
Diagnostic Radiology
NPI 1558680611
111 N MAPLEMERE RD STE 120
Williamsville, NY 14221
(716) 836-4646
✔ PECOS✔ Accepts Medicare71 mi
Diagnostic Radiology
NPI 1942731039
111 N MAPLEMERE RD STE 120
Williamsville, NY 14221
(716) 836-4646
✔ PECOS✔ Accepts Medicare71 mi
Diagnostic Radiology
NPI 1134357429
111 N MAPLEMERE RD STE 120
Williamsville, NY 14221
(716) 836-4646
✔ PECOS✔ Accepts Medicare71 mi
Diagnostic Radiology
NPI 1457863904
111 N MAPLEMERE RD STE 120
Williamsville, NY 14221
(716) 836-4646
✔ PECOS✔ Accepts Medicare71 mi
Diagnostic Radiology
NPI 1154387918
111 N MAPLEMERE RD STE 120
Williamsville, NY 14221
(716) 836-4646
✔ PECOS✔ Accepts Medicare71 mi
Diagnostic Radiology
NPI 1689823411
111 N MAPLEMERE RD STE 120
Williamsville, NY 14221
(716) 836-4646
✔ PECOS✔ Accepts Medicare71 mi
Diagnostic Radiology
NPI 1871550012
111 N MAPLEMERE RD STE 120
Williamsville, NY 14221
(716) 836-4646
✔ PECOS✔ Accepts Medicare71 mi
Diagnostic Radiology
NPI 1023075165
111 N MAPLEMERE RD STE 120
Williamsville, NY 14221
(716) 836-4646
✔ PECOS✔ Accepts Medicare71 mi
See all 27 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bradford Radiology PC's NPI number?

The NPI number for Bradford Radiology PC is 1669056669. It was assigned to this organization in the NPPES registry on May 6, 2021.

Where is Bradford Radiology PC located?

Bradford Radiology PC is located at 116 Interstate Pkwy, Bradford, PA 16701. The listed phone number is (814) 368-4143.

What is Bradford Radiology PC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Bradford Radiology PC enrolled in Medicare?

Yes. Bradford Radiology PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bradford Radiology PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 27 clinicians, all in Diagnostic Radiology, reassign their Medicare billing to Bradford Radiology PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bradford Radiology PC was last updated on August 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.