JEFFREY THOMAS MADDOCK M.D. NPI 1922450790

NPI Information

  • NPI: 1922450790
  • Provider Name: JEFFREY THOMAS MADDOCK, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 900 E BROADWAY AVE
    BISMARCK, ND
    ZIP 58501
  • Phone: (701) 530-5304

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NPI Details

Jeffrey Thomas Maddock, M.D. is a diagnostic radiology radiology in Bismarck, ND with 10 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Jeffrey Thomas Maddock, M.D. NPI is 1922450790. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduation Year:2016

The provider's business location address is:

900 E BROADWAY AVE
BISMARCK, ND
ZIP 58501-520
Phone: (701) 530-5304

The NPI 1922450790 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.

  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Screening 3d breast mammography (HCPCS:77063)
  • Screening mammography (HCPCS:77067)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • 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)
  • X-ray of chest, 2 views (HCPCS:71046)

The enumeration date for this NPI number is 7/6/2016 and was last updated on 12/18/2023.

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
12085R0204XRadiologyVascular & Interventional Radiology18369NORTH DAKOTANo
22085R0202XRadiologyDiagnostic Radiology18369NORTH DAKOTAYes

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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