Active NPI
Bridgeway Diagnostic Radiology
- Diagnostic Radiology Physician
- Phenix City, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- BRIDGEWAY DIAGNOSTIC RADIOLOGY
- Practice address
- 5007 Summerville Road
Phenix City, AL 36867-1559 - Phone
- (334) 408-2854
- Fax
- (334) 384-9274
- NPI assigned
- Sep 17, 2014
- Last updated
- Jul 28, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jason Hoover, M.D.
- Title
- M.D./Owner
- Phone
- (334) 408-2854
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | AL | Primary |
Addresses
Primary practice location
5007 Summerville Road
Phenix City, AL 36867-1559
Mailing address
PO Box 242848
Montgomery, AL 36124-2848
Phone (334) 386-9357
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, GA, CA, SC, FL, IL, PA, TX
Enrollment records 8
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D2086760 | Bridgeway Diagnostic Radiology, LLC | Certificate of waiver | Nov 11, 2026 |
National Provider Directory
National Provider DirectoryLocations
5007 Summerville Rd
Phenix City, AL 36867
Phone (334) 323-3937
100 Bascom Ct
Columbus, GA 31909
Phone (706) 350-5800
Practitioners & affiliated clinicians
Practitioners 33
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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- Diagnostic Radiology Physician
- Gadsden, AL
- NPI 1952571549
-
- Cardiovascular Disease Physician
- Montgomery, AL
- NPI 1760441869
-
- Clinical Electrophysiology Physical Therapist
- Pike Road, AL
- NPI 1174573844
-
- Diagnostic Radiology Physician
- Orlando, FL
- NPI 1497702542
-
- Diagnostic Radiology Physician
- Pittsburgh, PA
- NPI 1477525863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410912000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690502400000",
"number": "1306248729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 242848",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361242848",
"telephone_number": "334-386-9357",
"fax_number": "334-532-0137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5007 SUMMERVILLE ROAD",
"city": "PHENIX CITY",
"state": "AL",
"postal_code": "368671559",
"telephone_number": "334-408-2854",
"fax_number": "334-384-9274"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIDGEWAY DIAGNOSTIC RADIOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-17",
"last_updated": "2023-07-28",
"certification_date": "2023-07-28",
"status": "A",
"authorized_official_last_name": "HOOVER",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "M.D./OWNER",
"authorized_official_telephone_number": "334-408-2854",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "AL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phenix City, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.