Individual provider Active NPI

Bryan Wade Hamon, MD

  • Diagnostic Radiology Physician
  • Seneca, SC
National Provider Identifier
1952443582
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
42100 Issued in KY
Practice address
1059 By Pass 123
Seneca, SC 29678-4762
Phone
(864) 885-0551
NPI assigned
Feb 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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 42100 KY Primary

Addresses

Primary practice location

1059 By Pass 123
Seneca, SC 29678-4762

Mailing address

PO Box 2508
Indianapolis, IN 46206-2508
Phone (866) 388-4131

Other identifiers 1

IdentifierTypeStateIssuer
7100001990MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN, SC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20070706000412 KY Practitioner - Diagnostic RadiologyPractitioner - Emergency Medicine 7214037126 Reassigns benefits to 3 organizations
I20120619000363 TN Practitioner - Diagnostic Radiology 7214037126 Reassigns benefits to 1 organization
I20240620003320 SC Practitioner - Diagnostic Radiology 7214037126 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Kentucky College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HHD Enterprises LLCGroup PAC ID 2365572864, 3 clinicians
Adi Radiology PCGroup PAC ID 7911236427, 153 clinicians

Practice addresses (Care Compare)

1059 By Pass
Suite 123
Seneca, SC 29678-4762
Phone (864) 885-0551

6 Millwright Dr
Hilton Head, SC 29926-1234
Phone (615) 851-6033

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
42100KYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ephraim McDowell Health Resource, Inc CurrentSince Mar 14, 2024 Accepting new patients
HHD Enterprises, LLC Diagnostic Radiology CurrentSince Jul 22, 2024 Accepting new patients
Danville Radiology Associates PSC Diagnostic Radiology CurrentSince Feb 1, 2013 Accepting new patients
Ephraim McDowell Health Resource, Inc. Current Accepting new patients
Adi Radiology PC Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Ephraim McDowell Regional Medical Center, Incorporated CurrentSince Apr 29, 2024 Accepting new patients
Middle Tennessee Imaging LLC Diagnostic Radiology CurrentSince Nov 5, 2024 Accepting new patients
Clarksville Imaging Center LLC Diagnostic Radiology CurrentSince Dec 19, 2025 Accepting new patients
Ephraim McDowell Health Resource, Inc CurrentSince Mar 14, 2024 Accepting new patients
Ephraim McDowell Regional Medical Center Incorporated CurrentSince Apr 29, 2024 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Murfreesboro Radiology & Nuclear Medicine Consultants PLLC Diagnostic Radiology PastSince Aug 1, 2018 Accepting new patients
Middle Tennessee Imaging, LLC Past Accepting new patients

Locations

216 W Walnut St
Ste A
Danville, KY 40422
Phone (859) 239-5870

217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000

5130 Parkway Plaza Blvd
Charlotte, NC 28217

1059 Highway 123
Seneca, SC 29678
Phone (864) 885-0551

3754 Murfreesboro Pike
Ste 102
Antioch, TN 37013
Phone (615) 467-4642

789 Old Hickory Blvd
Brentwood, TN 37027
Phone (615) 555-6870

980 Professional Park Dr
Ste E
Clarksville, TN 37040
Phone (615) 327-2001

4321 Carothers Pkwy
Franklin, TN 37067
Phone (615) 435-5000

3310 Aspen Grove Dr
Ste 201
Franklin, TN 37067
Phone (615) 224-9810

110 Saint Blaise Rd
Ste 102
Gallatin, TN 37066
Phone (615) 467-4640

262 New Shackle Island Rd
Ste 206
Hendersonville, TN 37075
Phone (615) 986-6050

5045 Old Hickory Blvd
Ste 100
Hermitage, TN 37076
Phone (615) 884-7674

101 Physicians Way
Ste 112
Lebanon, TN 37090

101 Physicians Way
Ste 113
Lebanon, TN 37090

1210 Briarville Rd
Bldg F602
Madison, TN 37115
Phone (615) 773-7237

5002 Crossings Cir
Ste 140
Mt Juliet, TN 37122
Phone (615) 773-7237

1840 Medical Center Pkwy
Ste 101
Murfreesboro, TN 37129
Phone (615) 896-1234

4230 Harding Pike
Ste 220
Nashville, TN 37205
Phone (615) 467-1050

1800 Charlotte Ave
Nashville, TN 37203

1718 Charlotte Ave
Ste B
Nashville, TN 37203
Phone (615) 620-5480

5700 Temple Rd
Ste 102
Nashville, TN 37221
Phone (615) 986-5993

28 White Bridge Pike
Ste 111
Nashville, TN 37205
Phone (615) 986-6153

2323 Crestmoor Rd
Nashville, TN 37215

741 President Pl
Ste 100
Smyrna, TN 37167
Phone (615) 220-0674

100 Northcrest Dr
Springfield, TN 37172
Phone (615) 384-1531

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1952443582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2508",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462062508",
            "telephone_number": "866-388-4131",
            "fax_number": "866-505-6933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1059 BY PASS 123",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296784762",
            "telephone_number": "864-885-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMON",
        "first_name": "BRYAN",
        "middle_name": "WADE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "42100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100001990",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, SC

Sources for this page

Verify at the official NPI Registry.