Active NPI
Bradley E Ruff, M.D.,
- Ophthalmology Physician
- Lake Forest, IL
National Provider Identifier
1114905874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 036062774
- Practice address
- 900 N Westmoreland Rd
LL84
Lake Forest, IL 60045-1674 - Phone
- (847) 295-0001
- Fax
- (847) 535-9782
- NPI assigned
- Jan 4, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 036062774 | IL | Primary |
Addresses
Primary practice location
900 N Westmoreland Rd
LL84
Lake Forest, IL 60045-1674
Mailing address
900 N Westmoreland Rd
LL84
Lake Forest, IL 60045-1674
Phone (847) 295-0001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036062774 | IL | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Dupage Physician Group | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401926400000",
"number": "1114905874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 N WESTMORELAND RD",
"address_2": "LL84",
"city": "LAKE FOREST",
"state": "IL",
"postal_code": "600451674",
"telephone_number": "847-295-0001",
"fax_number": "847-535-9782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 N WESTMORELAND RD",
"address_2": "LL84",
"city": "LAKE FOREST",
"state": "IL",
"postal_code": "600451674",
"telephone_number": "847-295-0001",
"fax_number": "847-535-9782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUFF",
"first_name": "BRADLEY",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.,",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-04",
"last_updated": "2014-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IL",
"license": "036062774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Forest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.