Active NPI
Nathan Bumbarger, M.D.
- Body Imaging Physician
- Jbsa Lackland, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Body Imaging Physician
- License
- D0095945
- Practice address
- 1100 Wilford Hall Loop BLDG 4554
Jbsa Lackland, TX 78236-5638 - Phone
- (210) 292-7934
- Fax
- (210) 292-7934
- NPI assigned
- Jul 7, 2015
- Last updated
- Sep 20, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | D0095945 | MD | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 0116027992 | VA |
Addresses
Primary practice location
1100 Wilford Hall Loop BLDG 4554
Jbsa Lackland, TX 78236-5638
Mailing address
1100 Wilford Hall Loop BLDG 4554
Jbsa Lackland, TX 78236-5638
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0095945 | MD | MD | Body Imaging Physician |
| 0116027992 | VA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whasc | Current | Accepting new patients | |
| Insight Health Corp | Diagnostic Radiology | Current | Accepting new patients |
| Insight Health Corp. | Diagnostic Radiology | Current | Accepting new patients |
| University of Maryland Diagnostic Radiology, LLC | Diagnostic Radiology | Current | Accepting new patients |
| University of Maryland Diagnostic Radiology, LLC | Diagnostic Radiology | Current | Accepting new patients |
| University of Maryland Diagnostic Imaging Specialists P a | Diagnostic Radiology | Past | Accepting new patients |
| Columbus Radiology Corp | Diagnostic Radiology | Past | Accepting new patients |
Locations
22 S Greene St
Rm N2E23
Baltimore, MD 21201
Phone (410) 328-5656
5 N La Plata Ct
Ste 104
La Plata, MD 20646
Phone (301) 539-0345
5775 Wayzata Blvd
Ste 400
St Louis Park, MN 55416
Phone (952) 525-6338
1100 Wilford Hall Loop
Bldg 4554
San Antonio, TX 78236
Phone (210) 292-6225
4001 Prince William Pkwy
Ste 104
Woodbridge, VA 22192
Phone (703) 490-3677
Organizations & group practices 8
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.
-
dba Rayus Radiology
- Diagnostic Radiology Physician
- Woodbridge, VA
- NPI 1255300471
-
- Diagnostic Radiology Physician
- Baltimore, MD
- NPI 1154335487
DC
-
- Clinical Social Worker
- Lackland AFB, TX
- NPI 1225846116
-
dba Harbor/UCLA Diagnostic Imaging Center
- Physiological Laboratory
- Torrance, CA
- NPI 1467427377
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- La Plata, MD
- NPI 1467996959
-
- Diagnostic Radiology Physician
- Glen Burnie, MD
- NPI 1548803257
-
- Diagnostic Radiology Physician
- Columbus, OH
- NPI 1669408159
-
- Diagnostic Radiology Physician
- Baltimore, MD
- NPI 1083426563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726790400000",
"number": "1568845667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 WILFORD HALL LOOP BLDG 4554",
"city": "JBSA LACKLAND",
"state": "TX",
"postal_code": "782365638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 WILFORD HALL LOOP BLDG 4554",
"city": "JBSA LACKLAND",
"state": "TX",
"postal_code": "782365638",
"telephone_number": "210-292-7934",
"fax_number": "210-292-7934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUMBARGER",
"first_name": "NATHAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-07",
"last_updated": "2024-09-20",
"certification_date": "2024-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "MD",
"license": "D0095945",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0116027992",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jbsa Lackland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.