Individual provider Active NPI

Ronald R Eikenhorst, MD

  • Diagnostic Radiology Physician
  • Bryan, TX
National Provider Identifier
1083676225
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
E7395 Issued in TX
Practice address
2722 Osler Blvd
Bryan, TX 77802-2517
Phone
(979) 776-8291
Fax
(979) 774-7871
NPI assigned
Apr 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X E7395 TX Primary

Addresses

Primary practice location

2722 Osler Blvd
Bryan, TX 77802-2517

Mailing address

2722 Osler Blvd
Bryan, TX 77802-2517
Phone (979) 776-8291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050706001129 TX Practitioner - Diagnostic Radiology 0446296958 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E7395TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bryan Radiology Associates Diagnostic Radiology CurrentSince Jul 6, 1998 Accepting new patients

Locations

2722 Osler Blvd
Bryan, TX 77802
Phone (409) 776-8291

Interoperability endpoints

  • Direct secure messaging: hmhreiken@yourcarecommunity.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1083676225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 OSLER BLVD",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022517",
            "telephone_number": "979-776-8291",
            "fax_number": "979-774-7871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 OSLER BLVD",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022517",
            "telephone_number": "979-776-8291",
            "fax_number": "979-774-7871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIKENHORST",
        "first_name": "RONALD",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "E7395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

Verify at the official NPI Registry.