Individual provider Active NPI

Bradley Georges Leypold, MD, PHD

  • Diagnostic Radiology Physician
  • Southbury, CT
National Provider Identifier
1841495330
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
046562 Issued in CT
Practice address
385 Main St. South
C/O Nvra Union Square BLDG #1
Southbury, CT 06488
Phone
(203) 264-7999
Fax
(203) 264-7477
NPI assigned
Jun 15, 2007
Last updated
Jun 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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 046562 CT Primary

Addresses

Primary practice location

385 Main St. South
C/O Nvra Union Square BLDG #1
Southbury, CT 06488

Mailing address

385 Main St S
Southbury, CT 06488-4240
Phone (203) 264-7999

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bleypold224490@direct.stfranciscare.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080919000499 CT Practitioner - Diagnostic Radiology 8022185818 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Columbia University College of Physicians and Surgeons, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Naugatuck Valley MRI LLCGroup PAC ID 2668367756, 7 clinicians
Diagnostic Imaging Associates LLCGroup PAC ID 0143127241, 10 clinicians
Prospect Diagnostic ImagingGroup PAC ID 0244137214, 10 clinicians
Diagnostic Imaging of SouthburyGroup PAC ID 0143127548, 11 clinicians
Naugatuck Valley Radiological Associates PCGroup PAC ID 5092600189, 12 clinicians

Practice addresses (Care Compare)

1389 W Main St
Waterbury, CT 06708-3104
Phone 20326479991130

1389 W Main St
Waterbury, CT 06708-3115
Phone (203) 574-1311

166 Waterbury Rd
Prospect, CT 06712-1200
Phone (203) 758-7700

385 Main St S
Southbury, CT 06488-4240
Phone (203) 264-7999

385 Main St S
BLDG 1
Southbury, CT 06488-4246
Phone (203) 267-5114

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
046562CTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Naugatuck Valley Radiological Associates PC Diagnostic Radiology CurrentSince Jul 1, 2008 Accepting new patients
Prospect Diagnostic Imaging CurrentSince Jul 1, 2008 Accepting new patients
Diagnostic Imaging of Southbury CurrentSince Jul 1, 2008 Accepting new patients
Diagnostic Imaging Associates LLC CurrentSince Jul 1, 2008 Accepting new patients
Naugatuck Valley Computerized Imaging Past Accepting new patients
Diagnostic Radiology Associates, LLC Diagnostic Radiology PastSince Mar 7, 1991 Accepting new patients

Locations

166 Waterbury Rd
Prospect, CT 06712
Phone (203) 264-7999

385 Main St S
Southbury, CT 06488
Phone (203) 264-7999

385 Main St S
Bldg 1
Southbury, CT 06488
Phone (203) 264-7999

385 Main St S
Ofc
Southbury, CT 06488
Phone (203) 264-7999

1389 W Main St
Waterbury, CT 06708
Phone (203) 264-7999

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1841495330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 MAIN ST S",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064884240",
            "telephone_number": "203-264-7999",
            "fax_number": "203-264-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 MAIN ST. SOUTH",
            "address_2": "C/O NVRA UNION SQUARE BLDG #1",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "06488",
            "telephone_number": "203-264-7999",
            "fax_number": "203-264-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEYPOLD",
        "first_name": "BRADLEY",
        "middle_name": "GEORGES",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-15",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "046562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bleypold224490@direct.stfranciscare.org",
            "affiliation": "N",
            "endpointDescription": "Trinity Health of New England Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "385 Main St. South",
            "address_2": "c/o NVRA Union Square Bldg #1",
            "city": "Southbury",
            "state": "CT",
            "country_code": "US",
            "postal_code": "06488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Southbury, CT

Sources for this page

Verify at the official NPI Registry.