Individual provider Active NPI

Brandon Philip Olivieri, M.D.

  • Diagnostic Radiology Physician
  • Burnsville, NC
National Provider Identifier
1699064196
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
202302765 Issued in NC
Practice address
180 Lotawatah Dr
Burnsville, NC 28714-5038
Phone
(833) 228-6889
NPI assigned
Apr 5, 2011
Last updated
Oct 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Diagnostic Radiology Physician 2085R0202X MC-255 GU
Diagnostic Radiology Physician 2085R0202X 202302765 NC Primary
Diagnostic Radiology Physician 2085R0202X MD-53573 IA
Diagnostic Radiology Physician 2085R0202X 036.171523 IL
Vascular & Interventional Radiology Physician 2085R0204X ME131503 FL

Addresses

Primary practice location

180 Lotawatah Dr
Burnsville, NC 28714-5038

Mailing address

1010 N 102ND St Ste 201
Omaha, NE 68114-2122
Phone (833) 228-6889

Other practice location 1

701 W Forevergreen Rd
North Liberty, IA 52317-9848
Phone (319) 356-3375

Other practice location 2

20 York St
Yale-New Haven Hospital
New Haven, CT 06510-3220
Phone (203) 573-7354

Other practice location 3

Mount Sinai Medical Center, 4300 Alton Road
DeHirsch Myer Tower, Suite 2071
Miami Beach, FL 33140
Phone (305) 674-2071

Other practice location 4

500 E Market St
Iowa City, IA 52245-2633
Phone (833) 228-6889

Other practice location 5

1 Medical Center Dr
Galena, IL 61036-8118
Phone (815) 777-1340

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address bolivieri12478@direct.msmc.com Direct
FHIR URL https://epicfhir.msmc.com/proxysite-prd/api/FHIR/R4 Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, SC, NC, TX, GU, NM, MN7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20180301000371 FL Practitioner - Interventional Radiology 0042571317 Reassigns benefits to 1 organization
I20240422000448 SC Practitioner - Diagnostic Radiology 0042571317 Reassigns benefits to 2 organizations
I20240711002943 NC Practitioner - Diagnostic Radiology 0042571317 Reassigns benefits to 14 organizations
I20241108003513 TX Practitioner - Diagnostic Radiology 0042571317 Reassigns benefits to 1 organization
I20250214002378 GU Practitioner - Diagnostic Radiology 0042571317 Reassigns benefits to 3 organizations
I20250508001091 NM Practitioner - Diagnostic Radiology 0042571317 Reassigns benefits to 4 organizations
I20260105002471 MN Practitioner - Diagnostic Radiology 0042571317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Connecticut School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spartanburg Medical CenterGroup PAC ID 3072425297, shared by 17 NPIs, 1,060 clinicians
Regional West Medical CenterGroup PAC ID 1759285885, 66 clinicians
Plains Radiology Services LLCGroup PAC ID 1850453432, 61 clinicians
Diagnostic Radiology PCGroup PAC ID 2264491570, 65 clinicians
Radiology Consultants of Iowa PLCGroup PAC ID 3577467851, 73 clinicians
X-Ray Associates of New Mexico PCGroup PAC ID 6709879430, 53 clinicians
State University of IowaGroup PAC ID 7618884230, 1,886 clinicians
Otero County Hospital AssociationGroup PAC ID 3173516606, 245 clinicians
Baptist Physician NetworkGroup PAC ID 0547333890, 121 clinicians
Scotland Memorial Hospital, IncGroup PAC ID 0648208504, 259 clinicians
Guam Memorial HospitalGroup PAC ID 5890781694, 132 clinicians

Practice addresses (Care Compare)

101 E Wood St
Spartanburg, SC 29303-3040

133 Route 3
Dededo, GU 96929-6911
Phone (671) 645-5500

180 Lotawatah Dr
Burnsville, NC 28714-5038
Phone (308) 630-1111

2006 Reynolda Rd
Winston Salem, NC 27106-5113
Phone (308) 630-1111

2669 Scenic Dr
Alamogordo, NM 88310-8700
Phone (505) 439-6100

3080 College St
Beaumont, TX 77701-4606
Phone (409) 212-5000

500 Jefferson St
Whiteville, NC 28472-3634
Phone (910) 642-8011

500 Lauchwood Dr
Laurinburg, NC 28352-5501
Phone (910) 610-4172

850 Gov Carlos G Camacho Rd
Tamuning, GU 96913-3128
Phone (671) 647-2552

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.33 of 100Reported as group
Quality
73.83
Improvement activities
40
Cost
93.42

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MC-255GUMDDiagnostic Radiology Physician
MD-53573IAMDDiagnostic Radiology Physician
202302765NCMDDiagnostic Radiology Physician
ME131503FLMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg Medical Center Single Specialty Current Accepting new patients
Valley Radiology P a Single Specialty CurrentSince Jul 1, 2024 Accepting new patients
Spartanburg Medical Center Diagnostic Radiology CurrentSince Mar 2, 2024 Accepting new patients
Plains Radiology Services LLC Single Specialty CurrentSince Oct 28, 2024 Accepting new patients
KND Development 59 LLC Single Specialty CurrentSince Jan 11, 2026 Accepting new patients
X-Ray Associates of New Mexico PC Single Specialty CurrentSince Apr 1, 2025 Accepting new patients
Otero County Hospital Association CurrentSince May 1, 2025 Accepting new patients
The Duluth Clinic, LTD. CurrentSince Dec 18, 2025 Accepting new patients
Columbus Regional Healthcare System CurrentSince Sep 11, 2025 Accepting new patients
Florida Keys Radiology Associates LLP Single Specialty CurrentSince Apr 5, 2024 Accepting new patients
Guam Healthcare Development Incorporated Single Specialty CurrentSince Mar 1, 2025 Accepting new patients
Allen Memorial Hospital Corporation Single Specialty CurrentSince Aug 14, 2025 Accepting new patients
Guam Memorial Hospital Single Specialty CurrentSince Apr 23, 2025 Accepting new patients
Columbus Regional Healthcare System Single Specialty CurrentSince Sep 11, 2025 Accepting new patients
Guam X-Ray Single Specialty CurrentSince Jan 5, 2025 Accepting new patients
Baker Community Health Center Inc Single Specialty CurrentSince Jul 1, 2024 Accepting new patients
Great Plains Radiology LLC Single Specialty CurrentSince Sep 15, 2025 Accepting new patients
State University of Iowa Single Specialty CurrentSince Nov 20, 2024 Accepting new patients
Scotland Memorial Hospital Inc Single Specialty CurrentSince Oct 1, 2024 Accepting new patients
Diagnostic Radiology PC Single Specialty CurrentSince Mar 1, 2025 Accepting new patients
Scotland Memorial Hospital Inc Diagnostic Radiology CurrentSince Oct 1, 2024 Accepting new patients
Spartanburg Medical Center Single Specialty CurrentSince Mar 2, 2024 Accepting new patients
Baptist Physician Network Single Specialty CurrentSince Sep 25, 2024 Accepting new patients
Spartanburg Medical Center Single Specialty Current Accepting new patients
Radiology Consultants of Iowa, PLC Single Specialty CurrentSince Jan 1, 2025 Accepting new patients
Cibola General Hospital Corporation Single Specialty CurrentSince May 1, 2025 Accepting new patients
Otero County Hospital Association Single Specialty CurrentSince May 1, 2025 Accepting new patients
The Duluth Clinic LTD Single Specialty CurrentSince Dec 18, 2025 Accepting new patients
KND Development 59, LLC CurrentSince Jan 11, 2026 Accepting new patients
Spartanburg Medical Center Single Specialty CurrentSince Mar 2, 2024 Accepting new patients
Central Kentucky Radiology PLLC Single Specialty CurrentSince May 23, 2025 Accepting new patients
Guam Memorial Hospital CurrentSince Apr 23, 2025 Accepting new patients
Cumberland County Hospital System Inc Single Specialty CurrentSince Jun 1, 2025 Accepting new patients
Regional West Medical Center Single Specialty CurrentSince Aug 1, 2025 Accepting new patients
Floyd County Memorial Hospital Commission Single Specialty Past Accepting new patients
Broussard Family Practice, PLLC Single Specialty Past Accepting new patients

Locations (25 of 29)

159 N 3rd St
Macclenny, FL 32063
Phone (904) 259-7815

133 Route 3
Dededo, GU 96929
Phone (671) 645-5500

633 Gov Carlos G Camacho Rd
Ste 210
Tamuning, GU 96913
Phone (671) 649-1001

850 Gov Carlos G Camacho Rd
Tamuning, GU 96913
Phone (671) 647-2555

850 Gov Carlos G Camacho Rd
#R
Tamuning, GU 96913
Phone (671) 647-2552

1948 1st Ave NE
Cedar Rapids, IA 52402
Phone 3193640121 ext. 7305

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616

500 E Market St
Iowa City, IA 52245
Phone (319) 339-0300

701 W Forevergreen Rd
North Liberty, IA 52317
Phone (319) 356-2223

1825 Logan Ave
Waterloo, IA 50703
Phone (319) 235-3886

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

420 E 1st St
Duluth, MN 55805
Phone (218) 786-1265

501 S Poplar St
Elizabethtown, NC 28337
Phone (910) 862-4043

3186 Village Dr
Ste 201
Fayetteville, NC 28304
Phone 9104865700104

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

500 Jefferson St
Whiteville, NC 28472
Phone (910) 642-1776

1010 N 102nd St
Ste 201
Omaha, NE 68114

14301 Fnb Pkwy
Ste 100
Omaha, NE 68154
Phone (402) 706-6894

2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100

700 High St NE
Albuquerque, NM 87102
Phone (505) 242-4444

8020 Constitution Pl NE
Ste 101
Albuquerque, NM 87110
Phone (505) 998-1317

1016 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-4446

1423 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-6500

101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915

101 E Wood St
Ste 300
Spartanburg, SC 29303
Phone (864) 560-6554

Interoperability endpoints

  • Direct secure messaging: bolivieri12478@direct.msmc.com
  • Direct secure messaging: bolivieri2941432@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 36

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.

View all 36

Hospital & facility affiliations 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1699064196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N 102ND ST STE 201",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142122",
            "telephone_number": "833-228-6889",
            "fax_number": "877-853-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 LOTAWATAH DR",
            "city": "BURNSVILLE",
            "state": "NC",
            "postal_code": "287145038",
            "telephone_number": "833-228-6889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 W Forevergreen Rd",
            "address_purpose": "LOCATION",
            "city": "North Liberty",
            "state": "IA",
            "postal_code": "523179848",
            "country_code": "US",
            "telephone_number": "319-356-3375",
            "fax_number": "319-356-3949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 York St",
            "address_2": "Yale-New Haven Hospital",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065103220",
            "country_code": "US",
            "telephone_number": "203-573-7354",
            "fax_number": "203-573-6707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Mount Sinai Medical Center, 4300 Alton Road",
            "address_2": "DeHirsch Myer Tower, Suite 2071",
            "address_purpose": "LOCATION",
            "city": "Miami Beach",
            "state": "FL",
            "postal_code": "33140",
            "country_code": "US",
            "telephone_number": "305-674-2071",
            "fax_number": "305-535-7983",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 E Market St",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522452633",
            "country_code": "US",
            "telephone_number": "833-228-6889",
            "fax_number": "877-853-0376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Galena",
            "state": "IL",
            "postal_code": "610368118",
            "country_code": "US",
            "telephone_number": "815-777-1340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVIERI",
        "first_name": "BRANDON",
        "middle_name": "PHILIP",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-05",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GU",
            "license": "MC-255",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "202302765",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "MD-53573",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036.171523",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME131503",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bolivieri12478@direct.msmc.com",
            "affiliation": "N",
            "endpointDescription": "direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "Mount Sinai Medical Center, 4300 Alton Road",
            "address_2": "DeHirsch Myer Tower, Suite 2071",
            "city": "Miami Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.msmc.com/proxysite-prd/api/FHIR/R4",
            "affiliation": "N",
            "endpointDescription": "FHIR API",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "Mount Sinai Medical Center, 4300 Alton Road",
            "address_2": "DeHirsch Myer Tower, Suite 2071",
            "city": "Miami Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burnsville, NC

Sources for this page

Verify at the official NPI Registry.