Individual provider Active NPI

Bruce Michael Hertz, MD

  • Internal Medicine Physician
  • Niles, IL
National Provider Identifier
1124092259
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-074614 Issued in IL
Practice address
7157 W Howard St
Niles, IL 60714-3757
Phone
(847) 297-2181
Fax
(847) 297-0248
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-074614 IL Primary

Addresses

Primary practice location

7157 W Howard St
Niles, IL 60714-3757

Mailing address

7157 W Howard St
Niles, IL 60714-3757
Phone (847) 297-2181

Other identifiers 2

IdentifierTypeStateIssuer
036074614MedicaidIL
786940OtherILMEDICARE ID

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
I20080614000112 IL Practitioner - Internal Medicine 9931270287 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-074614ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
A & H Family Med, P.C. Internal Medicine CurrentSince Jun 1, 2008 Accepting new patients

Locations

6763 N Milwaukee Ave
Niles, IL 60714
Phone (847) 297-2181

7157 W Howard St
Niles, IL 60714
Phone (847) 647-1771

8780 W Golf Rd
Ste 100
Niles, IL 60714
Phone (847) 297-2181

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1124092259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7157 W HOWARD ST",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143757",
            "telephone_number": "847-297-2181",
            "fax_number": "847-297-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7157 W HOWARD ST",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143757",
            "telephone_number": "847-297-2181",
            "fax_number": "847-297-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERTZ",
        "first_name": "BRUCE",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-074614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036074614",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "786940",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

Verify at the official NPI Registry.