Active NPI
Stephen Brent Carroll, M.D.
- Neuroradiology Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuroradiology Physician
- License
- MD2013-0668
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42482780 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, NM, OH, OR, VI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PCCascade Medical Imaging LLCLake Health DistrictCentral Oregon Magnetic Resonance Imaging LLC
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
- St Charles Medical Center Prineville
- St Charles Madras
- Blue Mountain Hospital
- Harney District Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A83492 | CA | MD | Neuroradiology Physician |
| ME160184 | FL | MD | Diagnostic Radiology Physician |
| 35.134086 | OH | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Oregon Magnetic Resonance Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Timberridge Imaging Center | Diagnostic Radiology | Current | Accepting new patients |
| St Thomas Radiology Associates LLC | Neuroradiology | Current | Accepting new patients |
| Ocala Health Imaging Services LLC | Diagnostic Radiology | Current | Accepting new patients |
| Mercy Health Physicians Youngstown Specialty Care LLC | Current | Accepting new patients | |
| Cascade Medical Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Mercy Health Physicians Youngstown LLC | Current | Accepting new patients | |
| Bend Memorial Clinic PC | Current | Accepting new patients | |
| Central Oregon Magnetic Resonance Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Cascade Medical Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Bend Memorial Clinic PC | Neuroradiology | Current | Accepting new patients |
| Sky Lakes Medical Center Inc | Current | Accepting new patients | |
| Sky Lakes Medical Center Inc | Current | Accepting new patients | |
| Lake Health District | Current | Accepting new patients | |
| Inverness Medical Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Columbus Radiology Corp | Diagnostic Radiology | Current | Accepting new patients |
| Mercy Health Physicians Youngstown Specialty Care LLC | Current | Accepting new patients | |
| Radiology Imaging Associates, LLC | Diagnostic Radiology | Current | 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 | Current | Accepting new patients |
| Medical Imaging Center of Ocala LLP | Diagnostic Radiology | Current | Accepting new patients |
| Central Oregon Magnetic Resonance Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Cascade Medical Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Central Oregon Radiology Assoc PC | Diagnostic Radiology | Current | Accepting new patients |
| Advanced Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Cascade Medical Imaging LLC | Diagnostic Radiology | Past | Accepting new patients |
| Medical Imaging Center of Ocala LLP | Diagnostic Radiology | Past | 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
- https://fhir-usa.unify.chbase.com/org/piohosp-eec6c5e3
- 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.
-
- Diagnostic Radiology Physician
- Bend, OR
- NPI 1932621588
Diagnostic Radiology, OR
-
- Diagnostic Radiology Physician
- Bend, OR
- NPI 1114972155
Diagnostic Radiology, OR
-
- Diagnostic Radiology Physician
- Bend, OR
- NPI 1477590081
Diagnostic Radiology, OR, UT
-
- Diagnostic Radiology Physician
- Albuquerque, NM
- NPI 1558416974
Diagnostic Radiology, NM, UT
-
- Diagnostic Radiology Physician
- Columbus, OH
- NPI 1669408159
Diagnostic Radiology, UT
-
- Diagnostic Radiology Physician
- Inverness, FL
- NPI 1093763591
Diagnostic Radiology, UT
-
- Diagnostic Radiology Physician
- Ocala, FL
- NPI 1669469045
Diagnostic Radiology, UT
-
- Surgery Physician
- Youngstown, OH
- NPI 1649892225
OH
-
- Diagnostic Radiology Physician
- Ocala, FL
- NPI 1023318060
Diagnostic Radiology, UT
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Sleep Disorder Diagnostic Clinic/Center
- Bend, OR
- NPI 1164675963
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.