Individual provider Active NPI

Bryan Kantner, DO

  • Diagnostic Radiology Physician
  • Bethesda, MD
National Provider Identifier
1831515832
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
20A18149 Issued in CA
Practice address
4494 Palmer Rd N
Bethesda, MD 20814-2081
Phone
(845) 518-7815
NPI assigned
Mar 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 1451 NE
Diagnostic Radiology Physician 2085R0202X 20A18149 CA Primary

Addresses

Primary practice location

4494 Palmer Rd N
Bethesda, MD 20814-2081

Mailing address

4494 Palmer Rd N
Bethesda, MD 20814-4030
Phone (845) 518-7815

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, NC, GA, NH, TX, HI6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20230509001777 AL Practitioner - Diagnostic Radiology 8022315720 Reassigns benefits to 2 organizations
I20230510000211 NC Practitioner - Diagnostic Radiology 8022315720 Reassigns benefits to 3 organizations
I20230510000656 GA Practitioner - Diagnostic Radiology 8022315720 Reassigns benefits to 5 organizations
I20230510002922 NH Practitioner - Diagnostic Radiology 8022315720 Reassigns benefits to 1 organization
I20230511001577 TX Practitioner - Diagnostic Radiology 8022315720 Reassigns benefits to 6 organizations
I20250212002165 HI Practitioner - Diagnostic Radiology 8022315720 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
313482NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Medarva Imaging Diagnostic Radiology CurrentSince Nov 3, 2025 Accepting new patients
Medlife Diagnostic Services Inc CurrentSince Oct 9, 2025 Accepting new patients
Quality Medical Imaging of Nevada LLC CurrentSince Jul 15, 2022 Accepting new patients
Quality Medical Imaging of Washington Inc CurrentSince Jul 15, 2022 Accepting new patients

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1831515832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4494 PALMER RD N",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144030",
            "telephone_number": "845-518-7815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4494 PALMER RD N",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142081",
            "telephone_number": "845-518-7815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTNER",
        "first_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-14",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "1451",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "20A18149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.