Individual provider Active NPI

Bruce J Biederman, MD

  • Diagnostic Radiology Physician
  • Oceanside, CA
National Provider Identifier
1790780997
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA07983200 Issued in NJ
Practice address
4002 Vista Way
Oceanside, CA 92056-4506
Phone
(760) 940-4055
NPI assigned
Jun 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA07983200 NJ Primary

Addresses

Primary practice location

4002 Vista Way
Oceanside, CA 92056-4506

Mailing address

8745 Aero Dr
Suite 200
San Diego, CA 92123-1761

Other practice location 1

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5370

Other identifiers 1

IdentifierTypeStateIssuer
0091693MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, CA2 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

Enrollment IDStateProvider typePAC IDDetails
I20060123000863 NJ Practitioner - Diagnostic Radiology 3779507769 Reassigns benefits to 1 organization
I20090505000530 CA Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 3779507769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
George Washington University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ancillary Services of Practice Associates PAGroup PAC ID 4981026192, 99 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5370

2171 Del Mar Heights Rd
Del Mar, CA 92014-3019
Phone (973) 971-5370

Hospital & facility affiliations

  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • Chilton Medical Center Hospital, Pompton Plains, NJ, CCN 310017
  • Overlook Medical Center Hospital, Summit, NJ, CCN 310051
  • Newton Medical Center Hospital, Newton, NJ, CCN 310028
  • Ahs Hospital Corp Hospital, Hackettstown, NJ, CCN 310115

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52940CAMDPharmacist
25MA07983200NJMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Imaging Services LLC Body Imaging CurrentSince Apr 17, 2023 Accepting new patients
Ancillary Services of Practice Associates PA Body Imaging CurrentSince Apr 1, 2023 Accepting new patients
Hunterdon Ambulatory Services LLC CurrentSince Apr 17, 2023 Accepting new patients
Women'S Healthcare Imaging, Corp. CurrentSince Jan 9, 2025 Accepting new patients
Imaging Specialists of New Orleans Diagnostic Radiology Past Accepting new patients
Shore Memorial Hospital Past Accepting new patients
Practice Associates Medical Group Past Accepting new patients
Atlanticare Regional Medical Center Past Accepting new patients
Atlantic Radiologist PA Diagnostic Radiology Past Accepting new patients
Atlantic Medical Imaging Past Accepting new patients
San Diego Diagnostic Radiology Medical Group Inc Body Imaging Past Accepting new patients

Locations

471 Broadway
Ste 400
Bayonne, NJ 07002
Phone (973) 436-0511

1121 Route 22
Ste 103
Bridgewater, NJ 08807
Phone (908) 237-4001

100 Commerce Pl
Clark, NJ 07066
Phone (732) 388-2620

140 Central Ave
Ste 600
Clark, NJ 07066
Phone (732) 943-5030

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130

3025 Paramus Park Mall
Ste 300
Paramus, NJ 07652
Phone (201) 267-6889

10 Lanidex Plz W
Ste 125
Parsippany, NJ 07054
Phone (973) 267-1274

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

1000 Galloping Hill Rd
Union, NJ 07083
Phone (908) 522-6280

Interoperability endpoints

  • Direct secure messaging: bbiederman479656@direct.ahsys.org

Organizations & group practices 11

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.

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": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1790780997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8745 AERO DR",
            "address_2": "SUITE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 VISTA WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564506",
            "telephone_number": "760-940-4055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "NJ",
            "postal_code": "079606136",
            "country_code": "US",
            "telephone_number": "973-971-5370",
            "fax_number": "973-290-7294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIEDERMAN",
        "first_name": "BRUCE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA07983200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0091693",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.