Individual provider Active NPI

Bradley James Abraham, D.O.

  • Diagnostic Radiology Physician
  • Charlotte, NC
National Provider Identifier
1205213162
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
83512 Issued in SC
Practice address
700 E Morehead St Ste 300
Charlotte, NC 28202-2742
Phone
(704) 334-7800
NPI assigned
Apr 29, 2015
Last updated
Dec 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 58.006044 OH
Diagnostic Radiology Physician 2085R0202X 83512 SC Primary
Diagnostic Radiology Physician 2085R0202X 58.006044 OH
Diagnostic Radiology Physician 2085R0202X 34.128547 OH

Addresses

Primary practice location

700 E Morehead St Ste 300
Charlotte, NC 28202-2742

Mailing address

700 E Morehead St Ste 300
Charlotte, NC 28202-2742

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 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
I20210519001157 SC Practitioner - Diagnostic Radiology 8123330040 Reassigns benefits to 1 organization
I20231122000620 GA Practitioner - Diagnostic Radiology 8123330040 Reassigns benefits to 15 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Philadelphia Col of Osteo Med, Sewanee, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Radiology Services P CGroup PAC ID 3577454024, 70 clinicians
Piedmont Professional Services LLCGroup PAC ID 8921176231, 171 clinicians
Summit Imaging Services LLCGroup PAC ID 9436597945, 71 clinicians

Practice addresses (Care Compare)

1266 Hwy 515 S
Jasper, GA 30143-4872
Phone (770) 607-7339

1267 Hwy 54 W 2200
Fayetteville, GA 30214-2110
Phone (470) 271-3415

145 E Peacock St
Cochran, GA 31014-7846
Phone (478) 934-6211

432 Coleridge LN
Greer, SC 29651-7195
Phone (770) 607-7339

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58.006044OHMDInternal Medicine Physician
34.128547OHMDDiagnostic Radiology Physician
83512SCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Star CN, LP Current Accepting new patients
North Star MRI LP CurrentSince Nov 8, 2024 Accepting new patients
North Star FP, LP CurrentSince Oct 1, 2024 Accepting new patients
North Star MCD LLC CurrentSince Jul 25, 2024 Accepting new patients
Piedmont Professional Services, LLC CurrentSince Feb 1, 2026 Accepting new patients
Summit Imaging Services LLC Diagnostic Radiology CurrentSince Mar 20, 2024 Accepting new patients
Tanner Imaging Center CurrentSince Jul 1, 2025 Accepting new patients
Pro Radiology, LLC CurrentSince May 1, 2025 Accepting new patients
Summit Radiology Services P C Diagnostic Radiology CurrentSince Nov 15, 2023 Accepting new patients
North Star FM, LP CurrentSince Sep 13, 2024 Accepting new patients
North Star Diagnostic Imaging, LLC CurrentSince Aug 12, 2024 Accepting new patients
North Star MRI of Frisco LP CurrentSince Oct 24, 2024 Accepting new patients
North Star NPT LP CurrentSince Dec 5, 2024 Accepting new patients
North Star MCD, LLC CurrentSince Jul 25, 2024 Accepting new patients
North Star GV, LP CurrentSince Nov 5, 2024 Accepting new patients
Pro Radiology, LLC Diagnostic Radiology CurrentSince May 1, 2025 Accepting new patients
Tanner Medical Group Inc Internal Medicine PastSince Jul 1, 2025 Accepting new patients
American Health Imaging of South Carolina LLC Past Accepting new patients
North Star Plano Parkway, LP Past Accepting new patients

Locations

60 Peachtree Park Dr NE
#100
Atlanta, GA 30309
Phone (678) 278-8800

706 Dixie St
Ste 100
Carrollton, GA 30117
Phone (770) 812-8614

960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120
Phone (404) 554-2196

145 E Peacock St
Cochran, GA 31014
Phone (229) 200-4950

222 Perry Hwy
Hawkinsville, GA 31036
Phone (229) 200-4950

1266 Highway 515 S
Jasper, GA 30143
Phone (706) 301-5350

3921 Johns Creek Ct
Ste B
Suwanee, GA 30024
Phone (770) 217-7414

700 E Morehead St
Ste 300
Charlotte, NC 28202
Phone (704) 442-4390

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 20

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": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1205213162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E MOREHEAD ST STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E MOREHEAD ST STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022742",
            "telephone_number": "704-334-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "BRADLEY",
        "middle_name": "JAMES",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-29",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "58.006044",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "83512",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "58.006044",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "34.128547",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.