NPIMap

Individual provider Active NPI

Jonathan David Bulzan, D.O.

  • Diagnostic Radiology Physician
  • Greer, SC
National Provider Identifier
1861887671
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
85025 Issued in GA
Practice address
32 Bateswood Dr
Greer, SC 29651-7680
Phone
(864) 230-9629
NPI assigned
Mar 30, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 85025 GA Primary
Diagnostic Radiology Physician 2085R0202X 0102206567 VA
Diagnostic Radiology Physician 2085R0202X 2021-00896 NC
Student in an Organized Health Care Education/Training Program 390200000X 39

Addresses

Primary practice location

32 Bateswood Dr
Greer, SC 29651-7680

Mailing address

32 Bateswood Dr
Greer, SC 29651-7680
Phone (864) 230-9629

Other practice location 1

3050 Halstead Blvd Ext
Elizabeth City, NC 27909
Phone (252) 334-0402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210707002483 VA Practitioner - Diagnostic Radiology 1850695362 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hampton Roads Radiology Associates, PCGroup PAC ID 4880688506, 39 clinicians

Practice addresses (Care Compare)

582 Lynnhaven Pkwy
Suite 301
Virginia Beach, VA 23452-7386
Phone (757) 916-9630

Hospital & facility affiliations

  • Sentara Obici Hospital Hospital, Suffolk, VA, CCN 490044
  • Sentara Virginia Beach General Hospital Hospital, Virginia Beach, VA, CCN 490057
  • Sentara Princess Anne Hospital Hospital, Virginia Beach, VA, CCN 490119
  • The Outer Banks Hospital, Inc Hospital, Nags Head, NC, CCN 341324
  • Bon Secours Maryview Medical Center Hospital, Portsmouth, VA, CCN 490017

Merit-based Incentive Payment System (MIPS)

Final score
69.68 of 100Reported as group
Quality
39.36
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.52 of 100Reported as group
Quality
90.67
Improvement activities
40
Cost
78.84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021-00896NCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hampton Roads Radiology Associates, PC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Kingsley Lane Anatomic Pathology Current Accepting new patients
Chesapeake Diagnostic Imaging Centers, LLC Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
Chesapeake Radiologists LTD Diagnostic Radiology CurrentSince Aug 1, 2021 Accepting new patients
Chesapeake Diagnostic Imaging Centers, LLC Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients

Locations

676 Kingsborough Sq
Ste A
Chesapeake, VA 23320
Phone (757) 547-4155

1554 River Birch Run N
Chesapeake, VA 23320
Phone (757) 671-1144

736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124

582 Lynnhaven Pkwy
Ste 301
Virginia Beach, VA 23452
Phone (757) 916-9631

Organizations & group practices 5

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1861887671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 BATESWOOD DR",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296517680",
            "telephone_number": "864-230-9629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 BATESWOOD DR",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296517680",
            "telephone_number": "864-230-9629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3050 Halstead Blvd Ext",
            "address_purpose": "LOCATION",
            "city": "Elizabeth City",
            "state": "NC",
            "postal_code": "27909",
            "country_code": "US",
            "telephone_number": "252-334-0402",
            "fax_number": "252-335-0144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BULZAN",
        "first_name": "JONATHAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-30",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "85025",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0102206567",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2021-00896",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": "39",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greer, SC

Sources for this page

Verify at the official NPI Registry.