NPIMap

Individual provider Active NPI

Bruce F Schroeder, MD

  • Diagnostic Radiology Physician
  • Greenville, NC
National Provider Identifier
1497737365
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
9601060 Issued in NC
Practice address
990 Johns Hopkins Dr
Carolina Breast Imaging Specialists, PLLC
Greenville, NC 27834-7224
Phone
(252) 565-8951
Fax
(252) 565-8958
NPI assigned
Nov 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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 9601060 NC Primary

Addresses

Primary practice location

990 Johns Hopkins Dr
Carolina Breast Imaging Specialists, PLLC
Greenville, NC 27834-7224

Mailing address

990 Johns Hopkins Dr
Carolina Breast Imaging Specialists, PLLC
Greenville, NC 27834-7224
Phone (252) 565-8951

Other identifiers 2

IdentifierTypeStateIssuer
7490AOtherNCBCBSNC
897490AMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100517000514 NC Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 4688758121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Breast Imaging Specialists PLLCGroup PAC ID 9234363987, 4 clinicians

Practice addresses (Care Compare)

990 Johns Hopkins Dr
Greenville, NC 27834-7224
Phone (252) 565-8951

Hospital & facility affiliations

  • The Outer Banks Hospital, Inc Hospital, Nags Head, NC, CCN 341324
  • Vidant Chowan Hospital Hospital, Edenton, NC, CCN 341318
  • Vidant Edgecombe Hospital Hospital, Tarboro, NC, CCN 340107
  • Vidant Duplin Hospital Hospital, Kenansville, NC, CCN 340120
  • Vidant Roanoke Chowan Hospital Hospital, Ahoskie, NC, CCN 340099

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Breast Imaging Specialists PLLC Diagnostic Radiology CurrentSince Jul 24, 2013 Accepting new patients
Eastern Radiologists Inc Diagnostic Radiology Past Accepting new patients
Vidant Medical Group LLC Past Accepting new patients

Locations

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

990 Johns Hopkins Dr
Greenville, NC 27834
Phone (252) 565-8670

Organizations & group practices 3

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.

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": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1497737365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 JOHNS HOPKINS DR",
            "address_2": "CAROLINA BREAST IMAGING SPECIALISTS, PLLC",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347224",
            "telephone_number": "252-565-8951",
            "fax_number": "252-565-8958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 JOHNS HOPKINS DR",
            "address_2": "CAROLINA BREAST IMAGING SPECIALISTS, PLLC",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347224",
            "telephone_number": "252-565-8951",
            "fax_number": "252-565-8958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "BRUCE",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "9601060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "7490A",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "897490A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.