Bruce Bielfelt, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

OS5642 Issued in FL

Practice address

4300 N Access Rd
Suite D
Chattanooga, TN 37415-3812

Phone

(423) 826-1276

NPI assigned

Jan 19, 2006

Last updated

Aug 3, 2009By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

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.

• Fawcett Medical Imaging PA

  • Diagnostic Radiology Physician
  • Port Charlotte, FL
  • NPI 1720068497
  Authorized official Same address or phone
• Diagnostic Imaging Specialists PA

  • Diagnostic Radiology Physician
  • Atlanta, GA
  • NPI 1366424947
  NPD (past)
• Fawcett Imaging Port Charlotte PA

  • Diagnostic Radiology Physician
  • Port Charlotte, FL
  • NPI 1710215728
  NPD (past)

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249257600000",
    "number": "1619957370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21298 OLEAN BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526705",
            "telephone_number": "941-624-7032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 N ACCESS RD",
            "address_2": "SUITE D",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374153812",
            "telephone_number": "423-826-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIELFELT",
        "first_name": "BRUCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2009-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "OS5642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271113300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "13780",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bi Lo Pharmacy
• Melissa Bible
• William Bible, PA
• John T Bickel, MD
• Jaramie David Bickford, CSFA, RFA
• John Robert Bierly, MD
• Lona Carol Bieter, LMT
• Big Dreamers ABA TN LLC
• Jessica Bigley, MD
• Bill Moore Smith MD PLLC

• Diagnostic Radiology Physician in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Diagnostic Radiology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.