Individual provider Active NPI

Brian Allen Ellison, MD

  • Diagnostic Radiology Physician
  • Camden, NJ
National Provider Identifier
1700316403
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25IA13189500 Issued in NJ
Practice address
1 Cooper PLZ
Camden, NJ 08103-1461
Phone
(888) 499-8779
NPI assigned
Jun 14, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25IA13189500 NJ Primary
Diagnostic Radiology Physician 2085R0202X 281766 MA
Diagnostic Radiology Physician 2085R0202X A183776 CA

Addresses

Primary practice location

1 Cooper PLZ
Camden, NJ 08103-1461

Mailing address

1 Federal St Ste 200
Camden, NJ 08103-1088
Phone (848) 288-6935

Other practice location 1

8670 Wilshire Blvd Ste 101
Beverly Hills, CA 90211-2930
Phone (310) 358-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CA, TX, FL4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20221103001402 MA Practitioner - Diagnostic Radiology 0042584724 Reassigns benefits to 2 organizations
I20230825000998 CA Practitioner - Diagnostic Radiology 0042584724 Reassigns benefits to 8 organizations
I20250130001309 TX Practitioner - Diagnostic Radiology 0042584724 Reassigns benefits to 7 organizations
I20250917000389 FL Practitioner - Diagnostic Radiology 0042584724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Tennessee, HSC, College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lucidsolutions IncGroup PAC ID 0749603462, 84 clinicians
Lambert Radiology Medical Group IncGroup PAC ID 8224032271, 68 clinicians
Lakeland Regional Health Systems IncGroup PAC ID 8325952914, 513 clinicians
California Managed Imaging Medical Group IncGroup PAC ID 9436229887, 76 clinicians
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

Pasadena, CA 91105
Phone (614) 340-7740

1324 Lakeland Hill Blvd
Lakeland, FL 33805-4543
Phone (863) 687-1100

556 S Fair Oaks Ave
Suite 537
Pasadena, CA 91105-2656
Phone (805) 682-7744

8670 Wilshire Blvd
Suite 101
Beverly Hills, CA 90211-2930
Phone (310) 358-2100

Hospital & facility affiliations

  • Lakeland Regional Medical Center Hospital, Lakeland, FL, CCN 100157
  • Pih Health Hospital-Whittier Hospital, Whittier, CA, CCN 050169
  • Pih Health Good Samaritan Hospital Hospital, Los Angeles, CA, CCN 050471
  • Southern Hills Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290047
  • Pih Health Downey Hospital Hospital, Downey, CA, CCN 050393

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Dec 1, 2024 Accepting new patients
Universal Radiology Partners of California PC Diagnostic Radiology CurrentSince May 28, 2024 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive CurrentSince Jun 27, 2025 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Dec 1, 2024 Accepting new patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Apr 5, 2025 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is CurrentSince Dec 1, 2022 Accepting new patients
Lucidsolutions, Inc. Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
Lambert Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
California Managed Imaging Medical Group, Inc Diagnostic Radiology CurrentSince May 1, 2025 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Sep 3, 2023 Accepting new patients
Pih Health Physicians Internal Medicine CurrentSince Aug 13, 2025 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Sep 3, 2023 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is Diagnostic Radiology CurrentSince Dec 1, 2022 Accepting new patients
DHHS IHS Phoenix Area CurrentSince May 24, 2025 Accepting new patients
Lakeland Regional Health Systems, Inc. CurrentSince Sep 1, 2025 Accepting new patients
The Fort Defiance Indian Hospital Board, Incorporation CurrentSince Apr 7, 2025 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive Health Care Facility CurrentSince Jun 27, 2025 Accepting new patients
Irene Benn Medical Center CurrentSince May 24, 2025 Accepting new patients
Umass Memorial Radiology Phys Serv Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
DHHS IHS Phoenix Area CurrentSince May 24, 2025 Accepting new patients
Radiology Associates of San Luis Obispo, a Medical Group Inc Diagnostic Radiology CurrentSince Mar 1, 2025 Accepting new patients
DHHS IHS Phoenix Area Current Accepting new patients
DHHS IHS Phoenix CurrentSince May 24, 2025 Accepting new patients
Pueblo Radiology Medical Group Inc Diagnostic Radiology Past Accepting new patients

Locations (25 of 34)

12033 Agency Rd
Parker, AZ 85344
Phone (760) 572-4137

4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187

345 S Halcyon Rd
Arroyo Grande, CA 93420
Phone (805) 489-4261

8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100

8670 Wilshire Blvd
Ste 101
Beverly Hills, CA 90211
Phone (310) 358-2100

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

8436 W 3rd St
Ste 600
Los Angeles, CA 90048
Phone (310) 358-2100

1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741

1306 Maricopa Hwy
Ojai, CA 93023
Phone (805) 640-2260

1600 N Rose Ave
Oxnard, CA 93030
Phone (805) 988-2500

Dept LA 21738
Pasadena, CA 91185

556 S Fair Oaks Ave
Ste 537
Pasadena, CA 91105
Phone (805) 434-0829

2320 Bath St
Ste 211
Santa Barbara, CA 93105
Phone (805) 560-8111

2320 Bath St
Ste 113
Santa Barbara, CA 93105
Phone (805) 560-8111

351 S Patterson Ave
Santa Barbara, CA 93111
Phone (805) 681-6406

1010 Murray Ave
Sn Luis Obisp, CA 93405
Phone (805) 546-7600

1911 Johnson Ave
Sn Luis Obisp, CA 93401
Phone (805) 542-6633

2050 Viborg Rd
Solvang, CA 93463
Phone (805) 686-3961

31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939

1310 Las Tablas Rd
Ste 103
Templeton, CA 93465
Phone (805) 434-0829

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

168 N Brent St
Ste 401
Ventura, CA 93003
Phone (805) 652-5093

12401 Washington Blvd
Whittier, CA 90602
Phone (562) 698-0611

3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network
  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 25

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 25

Hospital & facility affiliations 5

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": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1700316403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST STE 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "848-288-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COOPER PLZ",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031461",
            "telephone_number": "888-499-8779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8670 Wilshire Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902112930",
            "country_code": "US",
            "telephone_number": "310-358-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "BRIAN",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-14",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25IA13189500",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "281766",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A183776",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.