DR. MICHAEL JAMES BRYDONE-JACK (M.D.) – Diagnostic Radiology Physician, NPI 1457767154
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,801 DIAGNOSTIC RADIOLOGY in MN
Provider Addresses for DR. MICHAEL JAMES BRYDONE-JACK (M.D.)
2801 MAIN ST APT 430
IRVINE, CA 926145020
Phone:
Type: Mailing
1025 SW WOODS ST UNIT A
PORTLAND, OR 972393099
Phone:
Type: Mailing
701 PARK AVE
HENNEPIN COUNTY MEDICAL CENTER
MINNEAPOLIS, MN 554151623
Phone: (612) 873-3000
Type: Location
701 Park Ave
Hennepin County Medical Center
Minneapolis, MN 554151623
Phone: (612) 873-3000
Type: Location
101 THE CITY DR S
ORANGE, CA 928683201
Phone: (714) 456-6595
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-05-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210507000909 | I | Diagnostic Radiology | CA | TBD |
| I20240506000971 | I | Diagnostic Radiology | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| A9585 | Injection, gadobutrol, 0.1 ml | 4,156 | 46 | $0 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 2,710 | 34 | $0 |
| 77067 | Screening mammography | 787 | 787 | $0 |
| 77063 | Screening 3d breast mammography | 699 | 699 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 182 | 182 | $0 |
Insurance plans in this area (ZIP 92614)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | MI | |
| Interventional Radiology, Diagnostic Radiology | OK | |
| General Practice, Diagnostic Radiology, Interventional Radiology | WA | |
| Diagnostic Radiology | OR | |
| Diagnostic Radiology | OR | |
| Diagnostic Radiology | MD | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | TX |
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