Breast Diagnostic Center, LLC
NPI 1790748499 · Diagnostic Radiology Physician · Fort Wayne, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1790748499
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Adam Gregory, President(260) 471-9466
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Breast Diagnostic Screening Center, LLC
- Doing business as
- Breast Diagnostic Screening Center, LLC
Additional practice locations (1)
- 1818 Carew StFort Wayne, IN 46805-4788Phone: (260) 483-1847Fax: (260) 484-5919
Registry dates
- Enumerated
- 2006-04-11
- Last updated
- 2024-09-24
- Certified
- 2024-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.