Individual provider Active NPI

John D Brofman, M.D.

  • Pulmonary Disease Physician
  • Berwyn, IL
National Provider Identifier
1023190063
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
036072874 Issued in IL
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

Updated by the provider on Jun 18, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036072874MedicaidIL
P00061472OtherILRAILROAD MEDICARE PIN
36072874OtherILSTATE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041208001147 IL Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Hospice/Palliative Care 5698731164 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Hospice/Palliative Care, Internal Medicine
Education
Johns Hopkins University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RML Health Providers Limited PartnershipGroup PAC ID 2961459565, 11 clinicians

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 Hospice, Rosemont, IL, CCN 141582

Merit-based Incentive Payment System (MIPS)

Final score
84.08 of 100Reported as group
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

OrganizationSpecialtyStatusNew patients
RML Health Providers Limited Partnership CurrentSince Feb 6, 2011 Accepting new patients
Natarajan Medical Group of Illinois, PC CurrentSince Jan 27, 2013 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.

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

Verify at the official NPI Registry.