Individual provider Active NPI

Brendan Michael O'Connor, M.D.

  • Diagnostic Radiology Physician
  • Portsmouth, VA
National Provider Identifier
1245467257
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101248034 Issued in VA
Practice address
Naval Medical Center Portsmouth
620 John Paul Jones Circle
Portsmouth, VA 23708
Phone
(757) 953-7550
NPI assigned
Jun 17, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 0101248034 VA Primary

Addresses

Primary practice location

Naval Medical Center Portsmouth
620 John Paul Jones Circle
Portsmouth, VA 23708

Mailing address

Naval Medical Center Portsmouth
620 John Paul Jones Circle
Portsmouth, VA 23708
Phone (216) 926-6873

Other practice location 1

34800 Bob Wilson Dr
Nmcsd
San Diego, CA 92134-1098
Phone (888) 375-6815

Other practice location 2

2937 Princess Anne Cres
Chesapeake, VA 23321-4519
Phone (216) 926-6873

Other practice location 3

1912 N Brandon Ave
Norfolk, VA 23507
Phone (888) 784-4763

Other practice location 4

554 Keily Street
Jacksonville, FL 32212
Phone (757) 953-7550

Other practice location 5

600 Gresham Dr
Norfolk, VA 23507-1904
Phone (757) 388-8870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, PA2 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
I20200228000013 VA Practitioner - Diagnostic Radiology 1153758339 Reassigns benefits to 1 organization
I20210907000070 PA Practitioner - Diagnostic Radiology 1153758339 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Northeastern Ohio University College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Butler Imaging and Interventional Associates LLCGroup PAC ID 8426115478, 43 clinicians

Practice addresses (Care Compare)

1 Hospital Dr
Clarion, PA 16214-8501
Phone (814) 226-9500

1 Hospital Way
Butler, PA 16001-4670
Phone (724) 284-4000

100 Innovation Dr
Suite 100
Slippery Rock, PA 16057-2468
Phone (724) 794-3843

100 Northpointe Cir
Suite 102
Seven Fields, PA 16046-7851
Phone (724) 772-0001

101 Alwine Rd
Suite 108a
Saxonburg, PA 16056-8604
Phone (724) 352-1313

105 Burgess Dr
Zelienople, PA 16063-2525
Phone (724) 452-3621

127 Oneida Valley Rd
Suite 202
Butler, PA 16001-2239
Phone (844) 282-4370

129 Oneida Valley Rd
Butler, PA 16001-2252

134 Marwood Rd
BLDG Suite3
Cabot, PA 16023-2206
Phone (724) 352-7001

160 Medical Ctr Rd
BLDG Suiteb
Chicora, PA 16025-2612
Phone (724) 445-0043

21 Franklin Village Mall
Suite 2
Kittanning, PA 16201-8803
Phone (724) 543-1386

245 Butler CMNS
Butler, PA 16001-2485
Phone (724) 431-0544

260 Butler CMNS
Butler, PA 16001-2485
Phone (724) 283-7633

480 E Jefferson St
Suite A1
Butler, PA 16001-4780
Phone (724) 284-4884

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101248034VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Current Accepting new patients
Sentara Medical Group CurrentSince Nov 19, 2019 Accepting new patients
Butler Imaging and Interventional Associates LLC Diagnostic Radiology CurrentSince Apr 1, 2022 Accepting new patients
University of Pittsburgh Physicians Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
Cardiology Consultants of Philadelphia, P.C. CurrentSince Jul 1, 2024 Accepting new patients

Locations

9360 River Rd
Marcy, NY 13403

1 Hospital Way
Butler, PA 16001
Phone (412) 492-0800

207 N Broad St
Fl 3
Philadelphia, PA 19107
Phone (215) 361-5020

1703 S Broad St
Ste 300
Philadelphia, PA 19148
Phone (215) 462-7100

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1245467257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NAVAL MEDICAL CENTER PORTSMOUTH",
            "address_2": "620 JOHN PAUL JONES CIRCLE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "23708",
            "telephone_number": "216-926-6873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAVAL MEDICAL CENTER PORTSMOUTH",
            "address_2": "620 JOHN PAUL JONES CIRCLE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "23708",
            "telephone_number": "757-953-7550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34800 Bob Wilson Dr",
            "address_2": "NMCSD",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921341098",
            "country_code": "US",
            "telephone_number": "888-375-6815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2937 Princess Anne Cres",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233214519",
            "country_code": "US",
            "telephone_number": "216-926-6873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1912 N Brandon Ave",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "23507",
            "country_code": "US",
            "telephone_number": "888-784-4763",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "554 Keily Street",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "32212",
            "country_code": "US",
            "telephone_number": "757-953-7550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Gresham Dr",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235071904",
            "country_code": "US",
            "telephone_number": "757-388-8870",
            "fax_number": "757-388-8871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "BRENDAN",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-17",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101248034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

Verify at the official NPI Registry.