DR. MICHAEL JAMES BRYDONE-JACK M.D. NPI 1457767154

NPI Information

  • NPI: 1457767154
  • Provider Name: DR. MICHAEL JAMES BRYDONE-JACK, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 101 THE CITY DR S
    ORANGE, CA
    ZIP 92868
  • Phone: (714) 456-6595

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NPI Details

DR. Michael James Brydone-jack, M.D. is a diagnostic radiology radiology in Orange, CA with 10 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Michael James Brydone-jack, M.D. NPI is 1457767154. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2016

The provider's business location address is:

101 THE CITY DR S
ORANGE, CA
ZIP 92868-201
Phone: (714) 456-6595

The NPI 1457767154 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.

  • Injection, gadobutrol, 0.1 ml (HCPCS:A9585)
  • Screening mammography (HCPCS:77067)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Screening 3d breast mammography (HCPCS:77063)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Ct scan of chest without contrast (HCPCS:71250)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Complete ultrasound scan of 1 breast (HCPCS:76641)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Ct scan of chest without contrast (HCPCS:71250)
  • X-ray of upper spine, 4-5 views (HCPCS:72050)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • Mri scan of both breasts (HCPCS:77049)

The enumeration date for this NPI number is 7/2/2014 and was last updated on 1/18/2022.

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
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
22085R0202XRadiologyDiagnostic RadiologyA172034CALIFORNIAYes

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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