Individual provider Active NPI

Bryan Hamade, MD

  • Diagnostic Radiology Physician
  • El Segundo, CA
National Provider Identifier
1194254037
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MT213617 Issued in PA
Practice address
2330 Utah Ave Ste 200
El Segundo, CA 90245-4817
Phone
(281) 766-0959
NPI assigned
Jun 5, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME153874 FL
Surgery Physician 208600000X MT213617 PA
Diagnostic Radiology Physician 2085R0202X MT213617 PA Primary

Addresses

Primary practice location

2330 Utah Ave Ste 200
El Segundo, CA 90245-4817

Mailing address

3401 N Broad St
Philadelphia, PA 19140-5103
Phone (215) 707-2000

Other practice location 1

3401 N Broad St
Philadelphia, PA 19140-5103
Phone (813) 484-3990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MI2 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
I20220831001424 FL Practitioner - Diagnostic Radiology 5597033712 Reassigns benefits to 6 organizations
I20250226001142 MI Practitioner - Interventional Radiology 5597033712 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Cooper Medical School of Rowan University, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Hospital GroupGroup PAC ID 2365968351, 366 clinicians
McLaren Medical GroupGroup PAC ID 3971416082, 240 clinicians
Great Lakes Radiology ServicesGroup PAC ID 7113456831, 32 clinicians
Baycare Outpatient Imaging LLCGroup PAC ID 3577804087, 90 clinicians

Practice addresses (Care Compare)

1035 Charlevoix Dr
Suite 200
Grand Ledge, MI 48837-2223
Phone (586) 430-4020

1540 Lake Lansing Rd
Suite 107
Lansing, MI 48912-3757
Phone (989) 667-6350

1900 Columbus Ave
Bay City, MI 48708-6831
Phone (989) 894-3000

2861 Buckhorn Forest Dr
Valrico, FL 33594-5420
Phone (800) 475-6112

2900 Collins Rd
Lansing, MI 48910-8394
Phone (517) 975-7500

401 S Ballenger Hwy
Flint, MI 48532-3638
Phone (810) 342-2000

4503 Bruce B Downs Blvd
Suite 104
Wesley Chapel, FL 33544-9216
Phone (813) 976-1026

6900 E Saginaw Hwy
Suite 120
Grand Ledge, MI 48837-9010
Phone (517) 975-1600

Hospital & facility affiliations

  • McLaren Greater Lansing Hospital, Lansing, MI, CCN 230167
  • Baycare Hospital Wesley Chapel Hospital, Wesley Chapel, FL, CCN 100362
  • Garden City Hospital Hospital, Garden City, MI, CCN 230244
  • Lake Huron Medical Center Hospital, Port Huron, MI, CCN 230031
  • McLaren Central Michigan Hospital, Mount Pleasant, MI, CCN 230080

Merit-based Incentive Payment System (MIPS)

Final score
82.04 of 100Reported as group
Quality
65.4
Promoting interoperability
98
Improvement activities
40
Cost
76.41

Merit-based Incentive Payment System (MIPS)

Final score
96.22 of 100Reported as group
Quality
95.56
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
78.06 of 100Reported as group
Quality
72.79
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME153874FLMDDiagnostic Radiology Physician

Practice roles (22 of 23)

OrganizationSpecialtyStatusNew patients
McLaren Central Michigan CurrentSince Aug 19, 2025 Accepting new patients
Gastro Health, LLC CurrentSince Sep 12, 2022 Accepting new patients
McLaren Hospital Group Diagnostic Radiology CurrentSince Jul 31, 2025 Accepting new patients
Baycare Outpatient Imaging LLC Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Tower Imaging LLC Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Florida Diagnostic Imaging Center Inc Diagnostic Radiology CurrentSince Feb 1, 2022 Accepting new patients
Gastro Health LLC CurrentSince Sep 12, 2022 Accepting new patients
McLaren Bay Region CurrentSince Aug 19, 2025 Accepting new patients
McLaren Medical Group CurrentSince Jan 5, 2025 Accepting new patients
Great Lakes Radiology Services Diagnostic Radiology CurrentSince Apr 18, 2025 Accepting new patients
Baycare Outpatient Imaging LLC Diagnostic Radiology Current Accepting new patients
McLaren Bay Region CurrentSince Aug 19, 2025 Accepting new patients
McLaren Medical Group Diagnostic Radiology CurrentSince Jan 5, 2025 Accepting new patients
McLaren Flint CurrentSince Aug 19, 2025 Accepting new patients
McLaren Central Michigan CurrentSince Aug 19, 2025 Accepting new patients
McLaren Central Michigan Current Accepting new patients
Tower Imaging LLC Diagnostic Radiology Current Accepting new patients
McLaren Flint Diagnostic Radiology CurrentSince Aug 19, 2025 Accepting new patients
Gastroenterology Associates of Pensacola PA CurrentSince Mar 6, 2024 Accepting new patients
Tampa General Hospital Current Accepting new patients
Florida Diagnostic Imaging Center Inc Diagnostic Radiology CurrentSince Feb 1, 2022 Accepting new patients
Tower Imaging LLC Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients

Locations (25 of 37)

3350 Bell Shoals Rd
Brandon, FL 33511
Phone (813) 654-4883

427 S Parsons Ave
Ste 100
Brandon, FL 33511
Phone (813) 215-2080

18600 Fernview St
Ste 101
Land O Lakes, FL 34638
Phone (813) 692-8010

17503 N Dale Mabry Hwy
Lutz, FL 33548
Phone (813) 968-4540

9408 SW 87th Ave
Ste 200
Miami, FL 33176
Phone 3054684190 ext. 5003

3661 S Miami Ave
Ste 907
Miami, FL 33133
Phone (305) 856-7333

9500 S Dadeland Blvd
Ste 200
Miami, FL 33156
Phone (786) 530-3820

5539 Marine Pkwy
New Pt Richey, FL 34652
Phone (727) 841-8225

3870 Tampa Rd
Oldsmar, FL 34677
Phone (352) 795-5628

2525 Martin Luther King Jr Blvd
Panama City, FL 32405
Phone (850) 873-6900

9400 University Pkwy
Pensacola, FL 32514
Phone (850) 208-6000

4828 N Davis Hwy
Pensacola, FL 32503

4511 N Davis Hwy
Ste 1B
Pensacola, FL 32503
Phone (850) 484-8454

7525 State Road 52
Port Richey, FL 34667
Phone (727) 847-5122

10621 Big Bend Rd
Riverview, FL 33579

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

3862 Sun City Center Blvd
Sun City Center, FL 33573
Phone (813) 642-9299

13330 Usf Laurel Dr
Tampa, FL 33612
Phone (813) 396-9478

17416 Brookside Trace Ct
Tampa, FL 33647
Phone (813) 660-6150

4719 N Habana Ave
Tampa, FL 33614
Phone (813) 874-9769

2106 S Lois Ave
Tampa, FL 33629
Phone (813) 287-1191

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

2470 Bloomingdale Ave
Ste 115
Valrico, FL 33596
Phone (727) 281-9479

2324 Oak Myrtle Ln
Wesley Chapel, FL 33544
Phone (813) 751-0422

4503 Bruce B Downs Blvd
Ste 104
Wesley Chapel, FL 33544
Phone (813) 586-8500

Networks

  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: bhamade296054@direct.tgh.org

Organizations & group practices 23

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 23

Hospital & facility affiliations 5

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": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1194254037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191405103",
            "telephone_number": "215-707-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 UTAH AVE STE 200",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454817",
            "telephone_number": "281-766-0959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191405103",
            "country_code": "US",
            "telephone_number": "813-484-3990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMADE",
        "first_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-05",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME153874",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MT213617",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MT213617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Segundo, CA

Sources for this page

Verify at the official NPI Registry.