Individual provider Active NPI

Stephen Brent Carroll, M.D.

  • Neuroradiology Physician
  • Albuquerque, NM
National Provider Identifier
1669532008
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
MD2013-0668 Issued in NM
Practice address
4411 The 25 Way NE
Suite 150
Albuquerque, NM 87109-5857
Phone
(505) 332-6919
Fax
(505) 332-6921
NPI assigned
Dec 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X MD2013-0668 NM Primary
Diagnostic Radiology Physician 2085R0202X 35.134086 OH
Diagnostic Radiology Physician 2085R0202X MD213452 OR
Neuroradiology Physician 2085N0700X A83492 CA
Diagnostic Radiology Physician 2085R0202X ME160184 FL

Addresses

Primary practice location

4411 The 25 Way NE
Suite 150
Albuquerque, NM 87109-5857

Mailing address

1460 NE Medical Center Dr
Bend, OR 97701-6061
Phone (541) 382-6633

Other practice location 1

1460 NE Medical Center Dr
Bend, OR 97701-6061
Phone (541) 382-6633

Other identifiers 1

IdentifierTypeStateIssuer
42482780MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, NM, OH, OR, VI5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20070918000363 UT Practitioner - Diagnostic Radiology 8224122551 Reassigns benefits to 11 organizations
I20131031001312 NM Practitioner - Diagnostic Radiology 8224122551 Reassigns benefits to 2 organizations
I20191122002012 OH Practitioner - Diagnostic Radiology 8224122551 Reassigns benefits to 2 organizations
I20230613003243 OR Practitioner - Diagnostic Radiology 8224122551 Reassigns benefits to 7 organizations
I20230706001201 VI Practitioner - Diagnostic Radiology 8224122551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Utah School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Oregon Radiology Assoc PCGroup PAC ID 9335132091, 43 clinicians
Cascade Medical Imaging LLCGroup PAC ID 9537140108, 40 clinicians
Lake Health DistrictGroup PAC ID 4284629221, 56 clinicians
Central Oregon Magnetic Resonance Imaging LLCGroup PAC ID 8224058003, 36 clinicians

Practice addresses (Care Compare)

1460 NE Medical Ctr Dr
Bend, OR 97701-6061
Phone (541) 382-6633

175 N Bald Mountain Dr
Alpine, UT 84004-1925
Phone (801) 698-8665

61270 SE Coombs PL
Suite 150
Bend, OR 97702-3748
Phone (541) 382-6633

700 S J St
Lakeview, OR 97630-1623
Phone (541) 947-2114

Hospital & facility affiliations

  • St Charles Medical Center - Bend Hospital, Bend, OR, CCN 380047
  • St Charles Medical Center Prineville Hospital, Prineville, OR, CCN 381313
  • St Charles Madras Hospital, Madras, OR, CCN 381324
  • Blue Mountain Hospital Hospital, John Day, OR, CCN 381305
  • Harney District Hospital Hospital, Burns, OR, CCN 381307

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A83492CAMDNeuroradiology Physician
ME160184FLMDDiagnostic Radiology Physician
35.134086OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Oregon Magnetic Resonance Imaging LLC Diagnostic Radiology Current Accepting new patients
Timberridge Imaging Center Diagnostic Radiology CurrentSince Feb 1, 2023 Accepting new patients
St Thomas Radiology Associates LLC Neuroradiology CurrentSince Feb 1, 2023 Accepting new patients
Ocala Health Imaging Services LLC Diagnostic Radiology CurrentSince Feb 20, 2023 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 1, 2022 Accepting new patients
Cascade Medical Imaging LLC Diagnostic Radiology CurrentSince Apr 10, 2024 Accepting new patients
Mercy Health Physicians Youngstown LLC CurrentSince Mar 27, 2020 Accepting new patients
Bend Memorial Clinic PC CurrentSince May 3, 2023 Accepting new patients
Central Oregon Magnetic Resonance Imaging LLC Diagnostic Radiology CurrentSince Apr 10, 2024 Accepting new patients
Cascade Medical Imaging LLC Diagnostic Radiology CurrentSince Apr 10, 2024 Accepting new patients
Bend Memorial Clinic PC Neuroradiology Current Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Sep 1, 2025 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Sep 1, 2025 Accepting new patients
Lake Health District CurrentSince Mar 1, 2025 Accepting new patients
Inverness Medical Imaging LLC Diagnostic Radiology CurrentSince Feb 1, 2023 Accepting new patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Dec 11, 2019 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 1, 2022 Accepting new patients
Radiology Imaging Associates, LLC Diagnostic Radiology CurrentSince Feb 1, 2023 Accepting new patients
Mercy Health Physicians Youngstown, LLC Current Accepting new patients
Morrow County Health District Current Accepting new patients
St. Thomas Radiology Associates, LLC Diagnostic Radiology CurrentSince Apr 12, 2023 Accepting new patients
Medical Imaging Center of Ocala LLP Diagnostic Radiology CurrentSince Feb 1, 2023 Accepting new patients
Central Oregon Magnetic Resonance Imaging LLC Diagnostic Radiology CurrentSince Apr 10, 2024 Accepting new patients
Cascade Medical Imaging LLC Diagnostic Radiology Current Accepting new patients
Central Oregon Radiology Assoc PC Diagnostic Radiology CurrentSince May 3, 2023 Accepting new patients
Advanced Imaging LLC Diagnostic Radiology CurrentSince Dec 2, 2013 Accepting new patients
Cascade Medical Imaging LLC Diagnostic Radiology Past Accepting new patients
Medical Imaging Center of Ocala LLP Diagnostic Radiology PastSince Feb 11, 2024 Accepting new patients
Revere Health PC Past Accepting new patients

Locations (25 of 42)

1673 Mason Ave
Ste 305
Daytona Beach, FL 32117
Phone 3862747118 ext. 7704

577 N Williamson Blvd
Daytona Beach, FL 32114

2105 Highway 44 W
Inverness, FL 34453
Phone (352) 419-4818

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300

1490 SE Magnolia Ext
Ocala, FL 34471
Phone (352) 512-9703

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

9521 SW Highway 200
Ocala, FL 34481
Phone (352) 351-7500

3202 N Park Rd
Plant City, FL 33563
Phone (813) 727-1200

6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000

3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000

3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778

4411 The 25 Way NE
Ste 150
Albuquerque, NM 87109
Phone (505) 332-5800

2400 Unser Blvd SE
Ste 29200
Albuquerque, NM 87124

7755 5 Mile Rd
Cincinnati, OH 45230
Phone (513) 233-2230

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

107 Royal Birkdale Dr
Ste A
Columbiana, OH 44408
Phone (330) 482-9350

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

12037 Sheraton Ln
Springdale, OH 45246
Phone (513) 671-3320

12029 Sheraton Ln
Springdale, OH 45246
Phone (513) 874-8111

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

1501 NE Medical Center Dr
Bend, OR 97701
Phone (541) 317-4354

1693 SW Chandler Ave
Ste 140
Bend, OR 97702
Phone (541) 279-3696

2200 NE Neff Rd
Ste 200
Bend, OR 97701
Phone (541) 322-2331

61270 SE Coombs Pl
Ste 100
Bend, OR 97702
Phone (541) 408-9310

1693 SW Chandler Ave
Ste 120
Bend, OR 97702
Phone (541) 388-0673

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/piohosp-eec6c5e3
  • FHIR API: https://fhir-myrecord.cerner.com/r4/1c1bd3d4-4a26-4d40-b6ea-57e1e5c43016/

Organizations & group practices 31

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.

View all 31

Hospital & facility affiliations 7

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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1669532008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 NE MEDICAL CENTER DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016061",
            "telephone_number": "541-382-6633",
            "fax_number": "541-383-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 THE 25 WAY NE",
            "address_2": "SUITE 150",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871095857",
            "telephone_number": "505-332-6919",
            "fax_number": "505-332-6921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1460 NE Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977016061",
            "country_code": "US",
            "telephone_number": "541-382-6633",
            "fax_number": "541-383-4577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "STEPHEN",
        "middle_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NM",
            "license": "MD2013-0668",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35.134086",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "MD213452",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "CA",
            "license": "A83492",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME160184",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42482780",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.