Active NPI
Brandy M Conner, DO
- Diagnostic Radiology Physician
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 5101027968
- Practice address
- 3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746 - Phone
- (616) 363-7272
- Fax
- (616) 361-5828
- NPI assigned
- Jun 17, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | R8336 | TX | |
| Diagnostic Radiology Physician | 2085R0202X | 5101027968 | MI | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 9407959 | KS | |
| Diagnostic Radiology Physician | 2085R0202X | 2019033205 | MO |
Addresses
Primary practice location
3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Mailing address
3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Phone (616) 363-7272
Other practice location 1
Emory University Hospital
Department of Radiology, Suite EG45
Atlanta, GA 30322
Phone (404) 778-3792
Other practice location 2
7900 Lees Summit Rd
Kansas City, MO 64139-1236
Phone (816) 404-0690
Other practice location 3
2301 Holmes St
Kansas City, MO 64108-2640
Phone (816) 404-0690
Other practice location 4
5323 Harry Hines Blvd
Dallas, TX 75390-2640
Phone (214) 648-7760
Other names 1
- Brandy M Luff
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, TX, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Michigan Ave NE
Grand Rapids, MI 49503-2560
Phone (616) 363-7272
7915 Sagamore Rd
Leawood, KS 66206-1228
Phone (616) 363-7272
Hospital & facility affiliations
- Bronson Methodist Hospital
- Bronson Battle Creek Hospital
- Bronson Lakeview Hospital
- Spectrum Health
- Bronson South Haven Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.87 of 100
- Quality
- 70.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.75
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.33 of 100
- Quality
- 91.31
- Improvement activities
- 40
- Cost
- 79.05
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9407959 | KS | MD | Diagnostic Radiology Physician |
| 2019033205 | MO | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Radiology Services PC | Diagnostic Radiology | Current | Accepting new patients |
| The University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Diagnostic Radiology | Current | Accepting new patients |
| Texas Radiology Associates LLP | Diagnostic Radiology | Current | Accepting new patients |
Locations
3264 N Evergreen Dr NE
Grand Rapids, MI 49525
Phone (616) 391-6001
100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680
10057 County Road 472
Anna, TX 75409
1600 Hospital Pkwy
#L
Bedford, TX 76022
Phone (817) 848-4000
1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803
2350 N Stemmons Fwy
Dallas, TX 75207
Phone (469) 488-7100
5701 Maple Ave
Dallas, TX 75235
Phone (214) 246-3306
3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591
3535 S Interstate 35 E
Denton, TX 76210
Phone (940) 384-3013
10864 Texas Health Trl
#L
Fort Worth, TX 76244
Phone (214) 647-5300
400 W Magnolia Ave
Ft Worth, TX 76104
Phone (817) 288-9700
600 S Main St
Ft Worth, TX 76104
Phone (817) 882-2400
1820 Preston Park Blvd
Ste 2400
Plano, TX 75093
401 W Campbell Rd
Richardson, TX 75080
Phone (940) 384-3535
5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390
Organizations & group practices 5
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.
-
- Diagnostic Radiology Physician
- Plano, TX
- NPI 1427016161
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1942270566
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1396832713
-
- Diagnostic Radiology Physician
- Dallas, TX
- NPI 1972579365
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Battle Creek, MI
- NPI 1083644579
-
- Critical Access Hospital
- Paw Paw, MI
- NPI 1962508259
-
- General Acute Care Hospital
- Kalamazoo, MI
- NPI 1831116441
-
- General Acute Care Hospital
- South Haven, MI
- NPI 1346275856
-
- Critical Access Hospital
- Hastings, MI
- NPI 1932695525
-
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1922090554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718236800000",
"number": "1619230513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3264 N EVERGREEN DR NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495259746",
"telephone_number": "616-363-7272",
"fax_number": "616-361-5828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3264 N EVERGREEN DR NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495259746",
"telephone_number": "616-363-7272",
"fax_number": "616-361-5828"
}
],
"practiceLocations": [
{
"address_1": "Emory University Hospital",
"address_2": "Department of Radiology, Suite EG45",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "30322",
"country_code": "US",
"telephone_number": "404-778-3792",
"fax_number": "404-778-0221",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7900 Lees Summit Rd",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641391236",
"country_code": "US",
"telephone_number": "816-404-0690",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2301 Holmes St",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641082640",
"country_code": "US",
"telephone_number": "816-404-0690",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5323 Harry Hines Blvd",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "753902640",
"country_code": "US",
"telephone_number": "214-648-7760",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONNER",
"first_name": "BRANDY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-17",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "R8336",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "5101027968",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "KS",
"license": "9407959",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "2019033205",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRANDY",
"last_name": "LUFF",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.