Bruce J Bortnick, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

D25665 Issued in MD

Practice address

20410 Observation Dr
Suite 104
Germantown, MD 20876-4000

Phone

(301) 948-5700

Fax

(301) 212-4277

NPI assigned

Feb 1, 2006

Last updated

Jul 22, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blackwell Physicians, LLC

  dba AHC Imaging

  • Diagnostic Radiology Physician
  • Rockville, MD
  • NPI 1932772589
  NPD
• Medical Faculty Associates, Inc

  • Anesthesiology Physician
  • Washington, DC
  • NPI 1417990581
  NPD

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248220800000",
    "number": "1740251271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20410 OBSERVATION DR",
            "address_2": "SUITE 104",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208764000",
            "telephone_number": "301-948-5700",
            "fax_number": "301-212-4277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20410 OBSERVATION DR",
            "address_2": "SUITE 104",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208764000",
            "telephone_number": "301-948-5700",
            "fax_number": "301-212-4277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORTNICK",
        "first_name": "BRUCE",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2009-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D25665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "920601901",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Jane Booker, MSW
• Briana Boone
• Mya Borda, RBT
• Abby Bordner
• Bornfree Wellness Centers of America
• Robert S Bosland, D.C.
• Kathryn Rose Bosley, NP
• Kimberly D Bosley, ATC
• Jonathan R Bowles, M.D.
• Brad Rosen, DO LLC

• Diagnostic Radiology Physician in Germantown, MD
• Providers in Germantown, MD by specialty
• Diagnostic Radiology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.