JAGANNADHARAO BRAHMAMDAM MD NPI 1457386922

NPI Information

  • NPI: 1457386922
  • Provider Name: JAGANNADHARAO BRAHMAMDAM, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 812 N LOGAN AVE
    DANVILLE, IL
    ZIP 61832
  • Phone: (217) 431-8413

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NPI Details

Jagannadharao Brahmamdam, MD is a diagnostic radiology radiology in Danville, IL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Jagannadharao Brahmamdam, MD NPI is 1457386922. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

812 N LOGAN AVE
DANVILLE, IL
ZIP 61832-752
Phone: (217) 431-8413
Fax: (217) 431-1397

The NPI 1457386922 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Screening 3d breast mammography (HCPCS:77063)
  • Screening mammography (HCPCS:77067)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Complete ultrasound scan of 1 breast (HCPCS:76641)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan of chest with contrast (HCPCS:71260)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • 3d radiographic procedure with computerized image postprocessing (HCPCS:76377)
  • Limited ultrasound scan behind abdominal cavity (HCPCS:76775)
  • Nuclear medicine study of bone and/or joint whole body (HCPCS:78306)
  • Mri scan of brain without contrast (HCPCS:70551)
  • X-ray of elbow, minimum of 3 views (HCPCS:73080)
  • X-ray of forearm, 2 views (HCPCS:73090)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ct scan of soft tissue of neck with contrast (HCPCS:70491)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)

The enumeration date for this NPI number is 7/12/2006 and was last updated on 10/12/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology03606004ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1B44567MEDICARE UPIN
20360600041MEDICAIDILLINOIS
3P10813MEDICARE ID-TYPE UNSPECIFIED
4200108180MEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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