Individual provider Active NPI

Brian Donald Fogler

  • Diagnostic Radiology Physician
  • Durham, NC
National Provider Identifier
1073045993
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2021-01111 Issued in NC
Practice address
2301 Erwin Road
Durham, NC 27710-1902
Phone
(260) 494-9238
NPI assigned
Mar 30, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2021-01111 NC
Diagnostic Radiology Physician 2085R0202X 2021-01111 NC Primary

Addresses

Primary practice location

2301 Erwin Road
Durham, NC 27710-1902

Mailing address

3109 Rowena Ave
Durham, NC 27703-4446
Phone (260) 494-9238

Other practice location 1

5601 Arringdon Park Dr
Morrisville, NC 27560-5676
Phone (919) 684-8111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, OH2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20230615000836 IN Practitioner - Diagnostic Radiology 8729356878 Reassigns benefits to 3 organizations
I20230619000840 OH Practitioner - Diagnostic Radiology 8729356878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Indiana University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fort Wayne Radiology Associates LLCGroup PAC ID 5294624060, 35 clinicians
Breast Diagnostic Center LLCGroup PAC ID 9335189513, 8 clinicians

Practice addresses (Care Compare)

3707 New Vision Dr
Fort Wayne, IN 46845-1702
Phone (260) 969-1124

433 W High St
Bryan, OH 43506-1679
Phone (419) 636-1131

Hospital & facility affiliations

  • Parkview Regional Medical Center Hospital, Fort Wayne, IN, CCN 150021
  • Parkview Whitley Hospital Hospital, Columbia City, IN, CCN 150101
  • Parkview Wabash Hospital, Inc Hospital, Wabash, IN, CCN 151310
  • Parkview Noble Hospital Hospital, Kendallville, IN, CCN 150146
  • Parkview Huntington Hospital Hospital, Huntington, IN, CCN 150091

Merit-based Incentive Payment System (MIPS)

Final score
80.28 of 100Reported as group
Quality
77.29
Improvement activities
40
Cost
73.88

Merit-based Incentive Payment System (MIPS)

Final score
85.81 of 100Reported as group
Quality
80.59
Promoting interoperability
100
Improvement activities
40
Cost
72.11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021-01111NCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Breast Diagnostic Center, LLC Diagnostic Radiology CurrentSince Jun 1, 2023 Accepting new patients
Community Hospitals and Wellness Centers CurrentSince May 27, 2023 Accepting new patients
Fort Wayne Radiology Associates LLC Diagnostic Radiology CurrentSince Jun 1, 2023 Accepting new patients
Community Hospitals and Wellness Centers CurrentSince May 27, 2023 Accepting new patients
P.E.T. Imaging Services, LLC Diagnostic Radiology CurrentSince Apr 19, 2025 Accepting new patients

Locations

3707 New Vision Dr
Fort Wayne, IN 46845
Phone (260) 373-4000

1818 Carew St
Ste 30
Fort Wayne, IN 46805
Phone (260) 425-5900

2110 Carew St
Fort Wayne, IN 46805
Phone (219) 432-6710

2200 Randallia Dr
Fort Wayne, IN 46805
Phone (260) 373-4000

1355 Mariners Dr
Warsaw, IN 46582
Phone (574) 267-6778

121 Westfield Dr
Archbold, OH 43502
Phone (419) 445-2015

433 W High St
Bryan, OH 43506
Phone (419) 636-1131

909 E Snyder Ave
Montpelier, OH 43543
Phone (419) 485-3154

1035 W Wayne St
Paulding, OH 45879
Phone (419) 399-4080

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1073045993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 ROWENA AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277034446",
            "telephone_number": "260-494-9238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 ERWIN ROAD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277101902",
            "telephone_number": "260-494-9238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5601 Arringdon Park Dr",
            "address_purpose": "LOCATION",
            "city": "Morrisville",
            "state": "NC",
            "postal_code": "275605676",
            "country_code": "US",
            "telephone_number": "919-684-8111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOGLER",
        "first_name": "BRIAN",
        "middle_name": "DONALD",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-30",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2021-01111",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2021-01111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.