Active NPI
John D Brofman, M.D.
- Pulmonary Disease Physician
- Berwyn, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 036072874
- Practice address
- 3231 Euclid Ave
Berwyn, IL 60402-3471 - Phone
- (815) 463-8994
- Fax
- (815) 463-8946
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 036072874 | IL | |
| Pulmonary Disease Physician | 207RP1001X | 036072874 | IL | Primary |
Addresses
Primary practice location
3231 Euclid Ave
Berwyn, IL 60402-3471
Mailing address
3231 Euclid Ave
Berwyn, IL 60402-3471
Phone (815) 463-8994
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036072874 | Medicaid | IL | |
| P00061472 | Other | IL | RAILROAD MEDICARE PIN |
| 36072874 | Other | IL | STATE OF ILLINOIS LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041208001147 | IL | Practitioner - Pulmonary Disease | 5698731164 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Johns Hopkins University School of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5601 S County Line Rd
Hinsdale, IL 60521-4875
Phone (630) 286-4000
Hospital & facility affiliations
- Accentcare Hospice & Palliative Care of Illinois
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.08 of 100
- Quality
- 58.48
- Improvement activities
- 40
- Cost
- 68.97
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RML Health Providers Limited Partnership | Current | Accepting new patients | |
| Natarajan Medical Group of Illinois, PC | Current | Accepting new patients |
Locations
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
3435 W Van Buren St
Chicago, IL 60624
Phone (773) 265-7700
3316 Payshere Cir
Chicago, IL 60674
606 Potter Rd
Des Plaines, IL 60016
Phone (800) 570-8809
5601 S County Line Rd
Hinsdale, IL 60521
Phone (630) 286-4000
6400 Shafer Ct
Ste 300
Rosemont, IL 60018
Phone (800) 570-8809
17855 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 201-3800
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Rosemont, IL
- NPI 1639430861
IL
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213747200000",
"number": "1023190063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3231 EUCLID AVE",
"city": "BERWYN",
"state": "IL",
"postal_code": "604023471",
"telephone_number": "815-463-8994",
"fax_number": "815-463-8946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3231 EUCLID AVE",
"city": "BERWYN",
"state": "IL",
"postal_code": "604023471",
"telephone_number": "815-463-8994",
"fax_number": "815-463-8946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROFMAN",
"first_name": "JOHN",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2008-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "IL",
"license": "036072874",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IL",
"license": "036072874",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036072874",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN",
"identifier": "P00061472",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF ILLINOIS LICENSE",
"identifier": "36072874",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Berwyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.