Radiology Chartered

NPI 1760416895ActiveOrganization· Radiology, Diagnostic Radiology· Green Bay, WI

Radiology, Diagnostic Radiology in Green Bay, Wisconsin, registered in NPPES in July 2006. The authorized official on file is Shaniece Brabant, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.

Overview

NPI	1760416895
Status	Active
Entity type	Organization
NPI issued	Jul 11, 2006
Last updated in NPPES	Jun 15, 2023
Certified by provider	Jun 15, 2023

Specialties and licenses

Taxonomy	Code	License	State
Radiology, Diagnostic Radiology Primary	2085R0202X	—	—

About license numbers in NPPES

Exclusion screening

List	Result	Details
HHS-OIG LEIE · Oct 9, 2026	No match	Checked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026	No match	—
New York OMIG · Nov 4, 2026	No match	—
Ohio Medicaid · Nov 4, 2026	No match	—
Pennsylvania Medicheck · Nov 4, 2026	No match	—
Washington HCA · Nov 4, 2026	No match	—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)	Enrolled Part B Supplier - Clinic/Group Practice (AZ); Part B Supplier - Clinic/Group Practice (CA); Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (GA); Part B Supplier - Clinic/Group Practice (IA); Part B Supplier - Clinic/Group Practice (IL); Part B Supplier - Clinic/Group Practice (KY); Part B Supplier - Clinic/Group Practice (MA); Part B Supplier - Clinic/Group Practice (ME); Part B Supplier - Clinic/Group Practice (MI); Part B Supplier - Clinic/Group Practice (MN); Part B Supplier - Clinic/Group Practice (MO); Part B Supplier - Clinic/Group Practice (NC); Part B Supplier - Clinic/Group Practice (NY); Part B Supplier - Clinic/Group Practice (RI); Part B Supplier - Clinic/Group Practice (TX); Part B Supplier - Clinic/Group Practice (WA); Part B Supplier - Clinic/Group Practice (WI)

Enrollment (PECOS)

Enrolled Part B Supplier - Clinic/Group Practice (AZ); Part B Supplier - Clinic/Group Practice (CA); Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (GA); Part B Supplier - Clinic/Group Practice (IA); Part B Supplier - Clinic/Group Practice (IL); Part B Supplier - Clinic/Group Practice (KY); Part B Supplier - Clinic/Group Practice (MA); Part B Supplier - Clinic/Group Practice (ME); Part B Supplier - Clinic/Group Practice (MI); Part B Supplier - Clinic/Group Practice (MN); Part B Supplier - Clinic/Group Practice (MO); Part B Supplier - Clinic/Group Practice (NC); Part B Supplier - Clinic/Group Practice (NY); Part B Supplier - Clinic/Group Practice (RI); Part B Supplier - Clinic/Group Practice (TX); Part B Supplier - Clinic/Group Practice (WA); Part B Supplier - Clinic/Group Practice (WI)

Medicare sources and data years

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All Radiology, Diagnostic Radiology providers in Wisconsin →