Individual provider Active NPI

Noel Melinda Bergquist, MD

  • Diagnostic Radiology Physician
  • Knoxville, TN
National Provider Identifier
1023040409
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
47204 Issued in TN
Practice address
1924 Alcoa Hwy # U107
Knoxville, TN 37920-1511
Phone
(865) 305-9661
Fax
(865) 305-6148
NPI assigned
Jul 7, 2006
Last updated
Sep 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 27626 AL
Diagnostic Radiology Physician 2085R0202X 107356 FL
Diagnostic Radiology Physician 2085R0202X 2005-00699 NC
Diagnostic Radiology Physician 2085R0202X 47204 TN Primary
Diagnostic Radiology Physician 2085R0202X 053098 GA

Addresses

Primary practice location

1924 Alcoa Hwy # U107
Knoxville, TN 37920-1511

Mailing address

PO Box 11167
Knoxville, TN 37939-1167
Phone (865) 584-7376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA, TN, NC4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20060922000256 AL Practitioner - Diagnostic Radiology 6800891953
I20100202000020 GA Practitioner - Diagnostic Radiology 6800891953 Reassigns benefits to 2 organizations
I20150303000856 TN Practitioner - Diagnostic Radiology 6800891953 Reassigns benefits to 1 organization
I20151014001416 NC Practitioner - Diagnostic Radiology 6800891953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of South Alabama College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1924 Alcoa Hwy
Knoxville, TN 37920-1511
Phone (865) 305-9661

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.17 of 100Reported as group
Quality
89.39
Improvement activities
40
Cost
100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
107356FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Diagnostics, LLC Diagnostic Radiology CurrentSince Jan 25, 2023 Accepting new patients
Columbus Diagnostic Center Inc Diagnostic Radiology Current Accepting new patients
University Diagnostics, LLC Diagnostic Radiology CurrentSince Mar 1, 2023 Accepting new patients
University Diagnostics, LLC Diagnostic Radiology CurrentSince Jan 31, 2023 Accepting new patients
Columbus Diagnostic Center Inc Diagnostic Radiology CurrentSince Nov 1, 2009 Accepting new patients
Association of University Radiologists, PC Diagnostic Radiology CurrentSince Aug 1, 2019 Accepting new patients
Robert Eichelberger, M.D., P.C. Past Accepting new patients
Radiology of Hunstville PC Diagnostic Radiology Past Accepting new patients
Montclair Road Imaging, LLC PastSince Jun 1, 2008 Accepting new patients
BHC - Walker Imaging PastSince Jan 15, 2013 Accepting new patients
Optimal Readings Professional Services, LLC Diagnostic Radiology Past Accepting new patients

Locations

2040 10th Ave
Columbus, GA 31901
Phone (706) 322-3000

2131 Comer Ave
Columbus, GA 31904
Phone (706) 323-7622

7500 Veterans Pkwy
Ste B
Columbus, GA 31909
Phone (706) 323-7622

11440 Parkside Dr
Ste 204
Knoxville, TN 37934
Phone (865) 675-1300

1924 Alcoa Hwy
#U107
Knoxville, TN 37920
Phone (865) 305-8685

851 Locust St
Rogersville, TN 37857
Phone (423) 272-2671

Organizations & group practices 12

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1023040409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11167",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379391167",
            "telephone_number": "865-584-7376",
            "fax_number": "865-540-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 ALCOA HWY # U107",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201511",
            "telephone_number": "865-305-9661",
            "fax_number": "865-305-6148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGQUIST",
        "first_name": "NOEL",
        "middle_name": "MELINDA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "27626",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "107356",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2005-00699",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "47204",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "053098",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.