Constantine P Brocoum, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

9614 Issued in NH

Practice address

2 1/2 Beacon St
Concord, NH 03301-4447

Phone

(603) 228-1521

Fax

(603) 225-2510

NPI assigned

Feb 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NH

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 1

Specialty

Diagnostic Radiology

Education

Geisel School of Medicine at Dartmouth, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Concord Imaging CenterGroup PAC ID 2466448030, 20 clinicians

X-Ray Professional AssociationGroup PAC ID 3375539927, 62 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Concord Hospital- Laconia Hospital, Laconia, NH, CCN 300005
• Concord Hospital Hospital, Concord, NH, CCN 300001
• Concord Hospital- Franklin Hospital, Franklin, NH, CCN 301306

Merit-based Incentive Payment System (MIPS)

Final score

83.6 of 100Reported as group

Quality

80.71

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

92.3 of 100Reported as group

Quality

90.94

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Concord Imaging Center

  • Radiology Clinic/Center
  • Concord, NH
  • NPI 1700859451

  Diagnostic Radiology, NH

  Medicare reassignment Care Compare group NPD
• X-Ray Professional Association

  • Diagnostic Radiology Physician
  • Concord, NH
  • NPI 1790758449

  Diagnostic Radiology, NH

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Concord Hospital-Franklin

  • Critical Access Hospital
  • Franklin, NH
  • NPI 1700960895

  Hospital

  Care Compare affiliation
• Concord Hospital-Laconia

  • General Acute Care Hospital
  • Laconia, NH
  • NPI 1053495234

  Hospital

  Care Compare affiliation
• Concord Hospital-Laconia

  • Family Medicine Physician
  • Laconia, NH
  • NPI 1053993741

  Hospital

  Care Compare affiliation
• Concord Hospital, Inc.

  • General Acute Care Hospital
  • Concord, NH
  • NPI 1215988530

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222387200000",
    "number": "1528031317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 1/2 BEACON ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014447",
            "telephone_number": "603-228-1521",
            "fax_number": "603-225-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 1/2 BEACON ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014447",
            "telephone_number": "603-228-1521",
            "fax_number": "603-225-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCOUM",
        "first_name": "CONSTANTINE",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2008-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NH",
            "license": "9614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30009599",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryan C Bridges, MD
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• Sandra L Bristol, ARNP
• Elizabeth Broadbent
• Michael Philip Bronnenberg, PA-C
• Megan Brookman, MA
• Trisha Brooks, APRN
• Kelly Brough, MS
• Holly Brouillet

• All providers in Concord, NH
• Diagnostic Radiology Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.