Active NPI
Jeremy Head
- Diagnostic Radiology Physician
- Bradenton, FL
National Provider Identifier
1013593656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 88785
- Practice address
- 2020 59TH St W
Bradenton, FL 34209-4604 - Phone
- (941) 798-6513
- NPI assigned
- Mar 23, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
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.
-
- Rural Health Clinic/Center
- Bowman, SC
- NPI 1225735772
-
- Multi-Specialty Clinic/Center
- Charleston, SC
- NPI 1043241110
SC
-
- Rural Health Clinic/Center
- Branchville, SC
- NPI 1043916448
-
- Rural Health Clinic/Center
- St Matthews, SC
- NPI 1063118461
-
- Rural Health Clinic/Center
- Orangeburg, SC
- NPI 1285330688
-
- Rural Health Clinic/Center
- Holly Hill, SC
- NPI 1508562901
-
- Rural Health Clinic/Center
- Orangeburg, SC
- NPI 1568169191
-
- Rural Health Clinic/Center
- Bamberg, SC
- NPI 1720784127
-
- Rural Health Clinic/Center
- Orangeburg, SC
- NPI 1932805330
-
- Family Medicine Physician
- Bamberg, SC
- NPI 1992383145
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Florence, SC
- NPI 1184197683
Hospital
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1285200105
Hospital
-
- General Acute Care Hospital
- Camden, SC
- NPI 1487220307
Hospital
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1558937474
Hospital
-
- Urgent Care Clinic/Center
- Columbia, SC
- NPI 1578402764
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Arizona College of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Musc Community Physicians
Practice addresses (Care Compare)
3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Phone (803) 395-3400
Hospital & facility affiliations
- Tidelands Waccamaw Community Hospital
- Musc Health Florence Medical Center
- Musc Health Columbia Medical Center Downtown
- Tidelands Georgetown Memorial Hospital
- Kershawhealth
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260228000163 | SC | Practitioner - Diagnostic Radiology | 7012319114 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88785 | SC | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Musc Community Physicians | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients |
Locations
3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 88785 | SC | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2020 59TH St W
Bradenton, FL 34209-4604
Mailing address
2020 59TH St W
Bradenton, FL 34209-4604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 27, 2026.
{
"created_epoch": "1616457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774569600000",
"number": "1013593656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 59TH ST W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342094604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 59TH ST W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342094604",
"telephone_number": "941-798-6513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEAD",
"first_name": "JEREMY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-23",
"last_updated": "2026-03-27",
"certification_date": "2026-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "SC",
"license": "88785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.