Bruce W Cardone, MD, RVT, RPHS

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

036073628 Issued in IL

Practice address

3871 N Perryville Rd
Rockford, IL 61114-8080

Phone

(815) 397-5554

Fax

(815) 550-0051

NPI assigned

May 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL, MO2 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 2

Specialty

Diagnostic Radiology

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Freeport Memorial HospitalGroup PAC ID 8426958232, 168 clinicians

Camelot Radiology Associates LTDGroup PAC ID 4880580521, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• FHN Memorial Hospital Hospital, Freeport, IL, CCN 140160
• Rochelle Community Hospital Hospital, Rochelle, IL, CCN 141312
• Javon Bea Hospital Hospital, Rockford, IL, CCN 140239

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Camelot Radiology Associates LTD

  • Diagnostic Radiology Physician
  • Freeport, IL
  • NPI 1841244753

  Diagnostic Radiology, IL

  Medicare reassignment Care Compare group NPD
• Freeport Memorial Hospital

  • General Acute Care Hospital
  • Freeport, IL
  • NPI 1447228788

  IL

  Medicare reassignment Care Compare group NPD
• City of Hope Medical Group of Illinois PLLC

  • Specialist
  • Zion, IL
  • NPI 1548258072

  IL

  Medicare reassignment NPD
• Rockford Health Physicians

  • Multi-Specialty Clinic/Center
  • Rockford, IL
  • NPI 1043242886

  IL

  Medicare reassignment NPD
• Columbia Orthopaedic Group, LLP

  • Orthopaedic Surgery Physician
  • Columbia, MO
  • NPI 1851392542

  MO

  Medicare reassignment NPD
• Mercy Health System Corporation

  • Multi-Specialty Clinic/Center
  • Janesville, WI
  • NPI 1598718603

  IL

  Medicare reassignment
• Radiology Consultants of Wisconsin

  • Medical Specialty Clinic/Center
  • Oconomowoc, WI
  • NPI 1124550405
  NPD (past) Authorized official
• Freeport Memorial Hospital

  • Community Based Hospice Care Agency
  • Freeport, IL
  • NPI 1033146279
  Care Compare group
• Ultrasound of Belvidere LLC

  • Sonography Radiologic Technologist
  • Belvidere, IL
  • NPI 1376665224
  NPD
• Columbia Orthopaedic Group, LLP

  • Durable Medical Equipment & Medical Supplies
  • Osage Beach, MO
  • NPI 1942986484
  NPD
• Ascension Medical Group-Southeast Wisconsin Inc

  • Internal Medicine Physician
  • Glendale, WI
  • NPI 1609881077

  Diagnostic Radiology

  NPD (past)
• Commonwealth Medical Group, LLC

  • Internal Medicine Physician
  • West Allis, WI
  • NPI 1477500361

  Diagnostic Radiology

  NPD (past)

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

• Freeport Memorial Hospital

  • General Acute Care Hospital
  • Freeport, IL
  • NPI 1447228788

  Hospital

  Care Compare affiliation
• Javon Bea Hospital

  • General Acute Care Hospital
  • Rockford, IL
  • NPI 1629118609

  Hospital

  Care Compare affiliation
• Rochelle Community Hospital Association

  • Critical Access Hospital
  • Rochelle, IL
  • NPI 1821053216

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1699723965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19685 WARWICK DR",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530452225",
            "telephone_number": "262-391-5000",
            "fax_number": "815-550-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3871 N PERRYVILLE RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611148080",
            "telephone_number": "815-397-5554",
            "fax_number": "815-550-0051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "N4W22370 Bluemound Rd",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Waukesha",
            "state": "WI",
            "postal_code": "531861683",
            "country_code": "US",
            "telephone_number": "262-349-9371",
            "fax_number": "262-408-5258",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 S Keene St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652017199",
            "country_code": "US",
            "telephone_number": "573-443-2402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARDONE",
        "first_name": "BRUCE",
        "middle_name": "W",
        "credential": "MD, RVT, RPHS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2020031768",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "30890",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036073628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036073628",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32047900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Rockford, IL
• Diagnostic Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.

Verify at the official NPI Registry.