NPIMap

Organization Active NPI

Raleigh Radiology Wakemed Imaging, LLC

  • Diagnostic Radiology Physician
  • Wake Forest, NC
National Provider Identifier
1821694381
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
RALEIGH RADIOLOGY WAKEMED IMAGING, LLC
Practice address
11640 Northpark Dr Ste 110
Wake Forest, NC 27587-5741
Phone
(919) 781-1437
NPI assigned
Dec 9, 2020
Last updated
Mar 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Authorized official

Name
John Andrew Bardini, M.D.NPI 1780669986
Title
MD/President
Phone
(919) 781-1437

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

11640 Northpark Dr Ste 110
Wake Forest, NC 27587-5741

Mailing address

5220 Greens Dairy Rd
Raleigh, NC 27616-4612
Phone (919) 781-1437

Other practice location 1

11618 US 70 Business Hwy W Ste 102
Clayton, NC 27520-2276
Phone (919) 781-1437

Other practice location 2

505 Oberlin Rd Ste 110
Raleigh, NC 27605-1345
Phone (919) 781-1437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, FL, KY, VA, CA, NY, UT7 enrollments

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
O20210223000224 NC Part B Supplier - Clinic/Group Practice 8325453459 Receives reassigned benefits from 69 practitioners
Practice locations: Clayton, NC; Wake Forest, NC; Southern Pines, NC; Raleigh, NC; Holly Springs, NC; Fuquay Varina, NC; Concord, NC; Chapel Hill, NC…
O20240220002466 FL Part B Supplier - Clinic/Group Practice 8325453459 Receives reassigned benefits from 2 practitioners
Practice locations: Naples, FL
O20240829000527 KY Part B Supplier - Clinic/Group Practice 8325453459 Receives reassigned benefits from 2 practitioners
Practice locations: Louisville, KY
O20240920001427 VA Part B Supplier - Clinic/Group Practice 8325453459 Receives reassigned benefits from 3 practitioners
Practice locations: Chesapeake, VA; Crozet, VA; Union Hall, VA
O20250714000303 CA Part B Supplier - Clinic/Group Practice 8325453459 Receives reassigned benefits from 2 practitioners
Practice locations: La Canada Flintridge, CA; Mountain View, CA
O20250805001287 NY Part B Supplier - Clinic/Group Practice 8325453459 Practice locations: New York, NY
O20250811001238 UT Part B Supplier - Clinic/Group Practice 8325453459 Receives reassigned benefits from 1 practitioner
Practice locations: South Jordan, UT

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

  • Wakemed

    dba WakeMed Mental Health & Well-Being Hospital WakeBrook

    • Psychiatric Hospital Unit
    • Raleigh, NC
    • NPI 1780446302

    Member Of

    NPD member

Locations

120 Banks Dr
Ste 110
Chapel Hill, NC 27514

11618 Clayton Blvd
Ste 102
Clayton, NC 27520

2400 N Main St
Fuquay Varina, NC 27526
Phone (919) 232-0322

2400 N Main St
Ste 150
Fuquay Varina, NC 27526

1060 S Main St
#110
Holly Springs, NC 27540

5111 Falls of Neuse Rd
Ste 100
Raleigh, NC 27609

5111 Falls of Neuse Rd
Ste 105
Raleigh, NC 27609

11640 Northpark Dr
Ste 110
Wake Forest, NC 27587

Practitioners & affiliated clinicians

Practitioners 103

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 103

NPI Registry JSON

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1821694381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 GREENS DAIRY RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276164612",
            "telephone_number": "919-781-1437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11640 NORTHPARK DR STE 110",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875741",
            "telephone_number": "919-781-1437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11618 US 70 Business Hwy W Ste 102",
            "address_purpose": "LOCATION",
            "city": "Clayton",
            "state": "NC",
            "postal_code": "275202276",
            "country_code": "US",
            "telephone_number": "919-781-1437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 Oberlin Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276051345",
            "country_code": "US",
            "telephone_number": "919-781-1437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RALEIGH RADIOLOGY WAKEMED IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-09",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "BARDINI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "919-781-1437",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.