Active NPI
Kenneth E Brumberger, M.D.
- Diagnostic Radiology Physician
- Penn Valley, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD066362L
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001708585 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, MD, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0005480 | DE | MD | Diagnostic Radiology Physician |
| MD066362L | PA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision Imaging of Kingston LLC | Diagnostic Radiology | Current | Accepting new patients |
| Imaging Associates of Hazleton PC | Diagnostic Radiology | Current | Accepting new patients |
| Capital Imaging Associates | Diagnostic Radiology | Current | Accepting new patients |
| Hudson Valley Diagnostic Imaging, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Cny Diagnostic Imaging Associates | Diagnostic Radiology | Current | Accepting new patients |
| New Rochelle Radiology Associates, P.C. | Diagnostic Radiology | Current | Accepting new patients |
| Schuylkill Open MRI Inc | Current | Accepting new patients | |
| Medical Diagnostic Imaging PLLC | Current | Accepting new patients | |
| Elite Imaging LLC | Diagnostic Radiology | Past | 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 | Past | Accepting new patients | |
| Washington Open MRI Inc | Past | Accepting new patients | |
| Insight Health Corp | Past | 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.
-
- Diagnostic Radiology Physician
- Hazleton, PA
- NPI 1487609715
-
- Diagnostic Radiology Physician
- Kingston, PA
- NPI 1487609483
-
- Diagnostic Radiology Physician
- New Rochelle, NY
- NPI 1376539080
PA
-
- Diagnostic Radiology Physician
- New Windsor, NY
- NPI 1407862246
PA
-
- Diagnostic Radiology Physician
- Annapolis, MD
- NPI 1396076642
-
- Diagnostic Radiology Physician
- Rockville, MD
- NPI 1336184241
-
- Radiology Clinic/Center
- Pottsville, PA
- NPI 1285630293
-
- Anatomic Pathology Physician
- Carlisle, PA
- NPI 1386695666
-
- Diagnostic Radiology Physician
- Philadelphia, PA
- NPI 1952394363
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.