RADIOLOGY CHARTERED
NPI 1760416895
Radiology - Diagnostic Radiology in Green Bay, WI

Q: What is Radiology Chartered's NPI number?

The NPI number for Radiology Chartered is 1760416895. It was assigned to this organization in the NPPES registry on July 11, 2006.

Q: What is Radiology Chartered's specialty?

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

Active since July 11, 2006

1789 SHAWANO AVE, GREEN BAY, WI 54303(920) 499-1428(920) 499-7080 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 15, 2023, Jul 25, 2022, Jul 12, 2022 (3 updates tracked since 2022).

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About Radiology Chartered NPPES

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

RADIOLOGY CHARTERED (NPI 1760416895) is a healthcare organization registered as a diagnostic radiology in Green Bay, Wisconsin and active in the NPI registry since July 2006. The organization maintains a secondary practice location in Marquette and lists Shaniece Brabant, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1760416895

Entity TypeOrganization

Primary Taxonomy2085R0202X

Legal Business NameRADIOLOGY CHARTERED

Location Address1789 SHAWANO AVEGreen Bay, WI 54303-3243

Mailing Address1789 Shawano AveGreen Bay, WI 54303-3243 · (920) 499-1428 · Fax (920) 499-7080

Phone(920) 499-1428

Fax(920) 499-7080

Organization SubpartNo

Authorized OfficialShaniece BrabantOffice Manager · (920) 499-2766

Enumeration DateJuly 11, 2006

Last NPPES UpdateJune 15, 20233 updates tracked since enumeration

NPPES CertifiedJune 15, 2023

✔ NPI 1760416895 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.

1789 SHAWANO AVE, Green Bay, WI 54303

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Secondary Practice Location 1

Location 1325 Bishop Woods RdMarquette, MI 49855-8606 · Phone (920) 499-1428 · Fax (920) 499-7080

Other Identifiers 3

OtherC04047WI · Rr Medicare

Medicaid32725000WI

Other000007273WI · Ptan

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 59 clinicians reassign Medicare billing to Radiology Chartered, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 12 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Diagnostic Radiology56

Interventional Radiology2

Pediatric Medicine1

Nearest to this location (20)

See all 59

Jesse Borman, MD

Diagnostic Radiology

NPI 1508046418