Individual provider Active NPI

Bridget Fey Koontz, M.D.

  • Radiation Oncology Physician
  • Orlando, FL
National Provider Identifier
1619006681
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME168380 Issued in FL
Practice address
2501 N Orange Ave Ste 182
Orlando, FL 32804-4675
Phone
(407) 303-2030
Fax
(407) 303-2042
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 200700324 NC
Radiation Oncology Physician 2085R0001X ME168380 FL Primary

Addresses

Primary practice location

2501 N Orange Ave Ste 182
Orlando, FL 32804-4675

Mailing address

PO Box 271647
Salt Lake City, UT 84127-1647

Other practice location 1

524 Moye Blvd
Greenville, NC 27834
Phone (252) 551-6300

Other practice location 2

101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (919) 966-7890

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bkoontz229366@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070910000951 NC Practitioner - Radiation Oncology 2961595731 Reassigns benefits to 4 organizations
I20240827003293 FL Practitioner - Radiation Oncology 2961595731 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Harvard Medical School, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0042383200, 329 clinicians

Practice addresses (Care Compare)

601 E Altamonte Dr
Altamonte SPG, FL 32701-4802
Phone (407) 830-4321

7727 Lake Underhill Rd
Orlando, FL 32822-8224
Phone (407) 303-8110

900 Winderley PL
Suite 1100
Maitland, FL 32751-7229
Phone (407) 200-2355

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200700324NCMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johnston Radiation Oncology LLC Radiation Oncology CurrentSince Sep 1, 2023 Accepting new patients
Duke Health Integrated Practice, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Florida Radiology Imaging at Lake Mary, LLC CurrentSince Aug 12, 2024 Accepting new patients
Smithfield Radiation Oncology, LLC Radiation Oncology CurrentSince Sep 1, 2023 Accepting new patients
University of North Carolina at Chapel Hill CurrentSince Aug 3, 2023 Accepting new patients
Florida Hospital Medical Group Inc Radiation Oncology CurrentSince Aug 12, 2024 Accepting new patients
Florida Hospital Physician Group Inc PastSince Aug 18, 2024 Accepting new patients
Rex Hospital Inc Past Accepting new patients

Locations

900 Winderley Pl
Ste 1100
Maitland, FL 32751
Phone (407) 200-1606

2501 N Orange Ave
Ste 182
Orlando, FL 32804
Phone (407) 303-2030

235 E Princeton St
Ste 100
Orlando, FL 32804
Phone (407) 303-1414

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

2076 Veterans Pkwy
Ste 120
Clayton, NC 27520
Phone (919) 585-8550

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

2100 Erwin Rd
Durham, NC 27705
Phone (919) 648-8111

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

11200 Governor Manly Way
Ste 102
Raleigh, NC 27614
Phone (919) 570-7550

2901 Blue Ridge Rd
Ste 100
Raleigh, NC 27607
Phone (919) 784-3018

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

117 Sunnybrook Rd
Raleigh, NC 27610
Phone (919) 334-3900

514 N Brightleaf Blvd
Ste 1200
Smithfield, NC 27577
Phone (919) 209-3555

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: bkoontz3826139@adventhealth.direct-ci.com
  • Direct secure messaging: bkoontz229366@direct.unc.nchie.net
  • Direct secure messaging: bkoontz48735@direct.medicine.duke.edu

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1619006681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271647",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841271647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N ORANGE AVE STE 182",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044675",
            "telephone_number": "407-303-2030",
            "fax_number": "407-303-2042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "524 Moye Blvd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "27834",
            "country_code": "US",
            "telephone_number": "252-551-6300",
            "fax_number": "252-329-0325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Manning Dr",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275144220",
            "country_code": "US",
            "telephone_number": "919-966-7890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOONTZ",
        "first_name": "BRIDGET",
        "middle_name": "FEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NC",
            "license": "200700324",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME168380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bkoontz229366@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "101 Manning Dr",
            "city": "Chapel Hill",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275144220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.