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)
Breast Diagnostic Center, LLC is a Diagnostic Radiology Physician organization in Fort Wayne, IN (NPI 1790748499).
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
Frequently asked questions
- What is Breast Diagnostic Center, LLC's NPI number?
- Breast Diagnostic Center, LLC's National Provider Identifier (NPI) is 1790748499, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Breast Diagnostic Center, LLC?
- Breast Diagnostic Center, LLC is classified in the NPPES registry as Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Breast Diagnostic Center, LLC located?
- Breast Diagnostic Center, LLC's practice location on file with NPPES is 3707 New Vision Dr, Fort Wayne, IN 46845-1702.
- What is Breast Diagnostic Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Breast Diagnostic Center, LLC is (260) 471-9466.
- Does Breast Diagnostic Center, LLC accept Medicare?
- Breast Diagnostic Center, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Breast Diagnostic Center, LLC?
- The authorized official listed on Breast Diagnostic Center, LLC's NPPES record is Adam Gregory, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Breast Diagnostic Center, LLC's NPI active?
- Yes — Breast Diagnostic Center, LLC's NPI (1790748499) is active in the NPPES registry as of the last update on 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.