Individual provider Active NPI

Bradford Sgrignoli, D.O.

  • Retina Specialist (Ophthalmology) Physician
  • Harrisburg, PA
National Provider Identifier
1003166000
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
OS017847 Issued in PA
Practice address
4100 Linglestown Rd
Harrisburg, PA 17112-1071
Phone
(717) 657-2020
NPI assigned
Sep 17, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X H0083315 MD
Retina Specialist (Ophthalmology) Physician 207WX0107X OS017847 PA Primary

Addresses

Primary practice location

4100 Linglestown Rd
Harrisburg, PA 17112-1071

Mailing address

4100 Linglestown Rd
Harrisburg, PA 17112-1071
Phone (717) 657-2020

Other practice location 1

327 Beach 19th Street
Far Rockaway, NY 11691
Phone (718) 869-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180907001077 PA Practitioner - Ophthalmology 8527330323 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Philadelphia College of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

850 Walnut Bottom Rd
Suite 105
Carlisle, PA 17013-3615
Phone (717) 910-4404

Merit-based Incentive Payment System (MIPS)

Final score
85.08 of 100Reported as group
Quality
85.29
Promoting interoperability
100
Improvement activities
40
Cost
64.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
H0083315MDMDRetina Specialist (Ophthalmology) Physician
OS017847PAMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Innovation Centers of Pennsylvania LLC CurrentSince Dec 22, 2021 Accepting new patients
Vision Innovation Centers of Pennsylvania LLC CurrentSince Dec 22, 2021 Accepting new patients
Keystone Retina, PLLC Retina Specialist CurrentSince May 1, 2025 Accepting new patients
Vision Innovation Centers of Pennsylvania LLC Past Accepting new patients

Locations

2661 Riva Rd
Ste 1030
Annapolis, MD 21401

4407 Carlisle Pike
Camp Hill, PA 17011
Phone 7179752015 ext. 52015

4407 Carlisle Pike
Ste D
Camp Hill, PA 17011
Phone (717) 975-2015

850 Walnut Bottom Rd
Ste 105
Carlisle, PA 17013
Phone (717) 243-3777

703 Rutter Ave
Kingston, PA 18704
Phone (570) 288-7405

4100 Linglestown Rd
Linglestown, PA 17112
Phone (717) 657-2020

170 Boston Ave
West Pittston, PA 18643
Phone (570) 602-1010

Interoperability endpoints

  • Direct secure messaging: bradford.sgignoli.p1@direct.katzeneye.nextgenshare.com
  • Direct secure messaging: bradford.sgrignoli.p1@direct.katzeneye.nextgenshare.com
  • Direct secure messaging: bsgrignoli@sgrignoli.intellechartdirect.net
  • Direct secure messaging: bradford.sgrignoli@vip.emadirect.md

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1003166000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 LINGLESTOWN RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171121071",
            "telephone_number": "717-657-2020",
            "fax_number": "717-657-2071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 LINGLESTOWN RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171121071",
            "telephone_number": "717-657-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "327 Beach 19th Street",
            "address_purpose": "LOCATION",
            "city": "Far Rockaway",
            "state": "NY",
            "postal_code": "11691",
            "country_code": "US",
            "telephone_number": "718-869-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SGRIGNOLI",
        "first_name": "BRADFORD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-17",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MD",
            "license": "H0083315",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "PA",
            "license": "OS017847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.