Individual provider Active NPI

Kenneth E Brumberger, M.D.

  • Diagnostic Radiology Physician
  • Penn Valley, PA
National Provider Identifier
1033101522
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD066362L Issued in PA
Practice address
1136 Tower LN E
Penn Valley, PA 19072-1132
Phone
(610) 331-5334
NPI assigned
Aug 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 97905 SC
Diagnostic Radiology Physician 2085R0202X 25MA07395400 NJ
Diagnostic Radiology Physician 2085R0202X C1-0005480 DE
Diagnostic Radiology Physician 2085R0202X MD066362L PA Primary

Addresses

Primary practice location

1136 Tower LN E
Penn Valley, PA 19072-1132

Mailing address

1136 Tower LN E
Penn Valley, PA 19072-1132
Phone (610) 331-5334

Other practice location 1

101 E Wood St
Spartanburg, SC 29303-3040
Phone (864) 560-6522

Other identifiers 1

IdentifierTypeStateIssuer
001708585MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD, NY3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20040119000168 PA Practitioner - Diagnostic Radiology 0244131613 Reassigns benefits to 6 organizations
I20070228000323 MD Practitioner - Diagnostic Radiology 0244131613 Reassigns benefits to 2 organizations
I20250519000474 NY Practitioner - Diagnostic Radiology 0244131613 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Columbia University College of Physicians and Surgeons, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Imaging AssociatesGroup PAC ID 7416939590, 15 clinicians
New Rochelle Radiology Associates PCGroup PAC ID 8921997479, 13 clinicians
Vision Imaging of Kingston LLCGroup PAC ID 8921065319, 12 clinicians
Imaging Associates of Hazleton PCGroup PAC ID 0941275747, 8 clinicians

Practice addresses (Care Compare)

1001 Loudon Rd
Latham, NY 12110
Phone (518) 785-7373

175 Memorial Hwy
New Rochelle, NY 10801-5635
Phone (914) 633-7700

517 Pierce St
Kingston, PA 18704-5756
Phone (570) 714-7226

7450 Tilghman St
Suite 125
Allentown, PA 18106-9034
Phone (570) 501-7226

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0005480DEMDDiagnostic Radiology Physician
MD066362LPAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Imaging of Kingston LLC Diagnostic Radiology CurrentSince Nov 1, 2020 Accepting new patients
Imaging Associates of Hazleton PC Diagnostic Radiology CurrentSince Nov 1, 2020 Accepting new patients
Capital Imaging Associates Diagnostic Radiology CurrentSince Sep 1, 2024 Accepting new patients
Hudson Valley Diagnostic Imaging, PLLC Diagnostic Radiology CurrentSince Sep 1, 2024 Accepting new patients
Cny Diagnostic Imaging Associates Diagnostic Radiology CurrentSince Apr 21, 2025 Accepting new patients
New Rochelle Radiology Associates, P.C. Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
Schuylkill Open MRI Inc CurrentSince Aug 1, 2020 Accepting new patients
Medical Diagnostic Imaging PLLC CurrentSince Sep 1, 2024 Accepting new patients
Elite Imaging LLC Diagnostic Radiology PastSince Apr 9, 2014 Accepting new patients
Cumberland Pathology Associates, LLC Past Accepting new patients
Open MRI of Allentown LLC Diagnostic Radiology Past Accepting new patients
Washington Open MRI Inc PastSince Jul 7, 2018 Accepting new patients
Washington Open MRI Inc Past Accepting new patients
Insight Health Corp PastSince Oct 1, 2009 Accepting new patients
Imaging Professionals of Pennsylvania PC Diagnostic Radiology Past Accepting new patients
Delaware Open MRI Radiology Associates LLC Diagnostic Radiology Past Accepting new patients

Locations

3 Emma Ln
Clifton Park, NY 12065
Phone (518) 278-4334

4939 Brittonfield Pkwy
Ste 102
East Syracuse, NY 13057
Phone (315) 234-9679

8100 Oswego Rd
Ste 100
Liverpool, NY 13090
Phone (315) 453-5004

175 Memorial Hwy
New Rochelle, NY 10801
Phone (914) 235-3535

575 Hudson Valley Ave
Ste 101
New Windsor, NY 12553
Phone (845) 220-2222

1000 E Genesee St
Ste 100
Syracuse, NY 13210
Phone (315) 269-9729

1323 Route 9
Ste 107
Wappingers Falls, NY 12590
Phone (845) 471-2848

7450 Tilghman St
Ste 125
Allentown, PA 18106
Phone (570) 501-7226

101 S Church St
Hazleton, PA 18201
Phone (570) 501-7226

517 Pierce St
Kingston, PA 18704
Phone (570) 371-3536

48 Tunnel Rd
Ste 102
Pottsville, PA 17901
Phone (570) 622-6206

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1033101522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 TOWER LN E",
            "city": "PENN VALLEY",
            "state": "PA",
            "postal_code": "190721132",
            "telephone_number": "610-331-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 TOWER LN E",
            "city": "PENN VALLEY",
            "state": "PA",
            "postal_code": "190721132",
            "telephone_number": "610-331-5334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 E Wood St",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293033040",
            "country_code": "US",
            "telephone_number": "864-560-6522",
            "fax_number": "864-560-5341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUMBERGER",
        "first_name": "KENNETH",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "97905",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA07395400",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DE",
            "license": "C1-0005480",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD066362L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001708585",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Penn Valley, PA

Sources for this page

Verify at the official NPI Registry.