Individual provider Active NPI

Bradley Dean Hnatiuk, M.D.

  • Vascular & Interventional Radiology Physician
  • Fresno, CA
National Provider Identifier
1578841748
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
C196875 Issued in CA
Practice address
1827 E Fir Ave Ste 101
Fresno, CA 93720-3860
Phone
(559) 899-3839
NPI assigned
Jul 21, 2011
Last updated
Jun 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X C196875 CA Primary

Addresses

Primary practice location

1827 E Fir Ave Ste 101
Fresno, CA 93720-3860

Mailing address

1827 E Fir Ave Ste 101
Fresno, CA 93720-3860
Phone (559) 899-3839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C196875CAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Valley Community Medical Imaging Vascular & Interventional Radiology CurrentSince Dec 1, 2024 Accepting new patients
California Imaging Institute Medical Group Inc CurrentSince Dec 1, 2024 Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

1827 E Fir Ave
Ste 101
Fresno, CA 93720
Phone (559) 297-9002

1867 E Fir Ave
Ste 101
Fresno, CA 93720
Phone (559) 325-5800

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

6771 N Palm Ave
Fresno, CA 93704
Phone (559) 451-2203

7543 N Ingram Ave
Ste 106
Fresno, CA 93711

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1578841748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1827 E FIR AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203860",
            "telephone_number": "559-899-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1827 E FIR AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203860",
            "telephone_number": "559-899-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HNATIUK",
        "first_name": "BRADLEY",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-21",
        "last_updated": "2024-06-18",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "C196875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.