Individual provider Active NPI

Devoni Bruns, MD

  • Obstetrics & Gynecology Physician
  • Arlington Heights, IL
National Provider Identifier
1154859973
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
O36.153403 Issued in IL
Practice address
1614 W Central Rd Ste 205
Arlington Heights, IL 60005-2453
Phone
(847) 392-9191
NPI assigned
May 24, 2017
Last updated
Aug 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X O36.153403 IL Primary

Addresses

Primary practice location

1614 W Central Rd Ste 205
Arlington Heights, IL 60005-2453

Mailing address

2935 N Clybourn Ave Unit 402
Chicago, IL 60618-8190

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
I20211015002095 IL Practitioner - Obstetrics/Gynecology 0749688141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Northwest Community Women Services LLCGroup PAC ID 7214203942, 20 clinicians

Practice addresses (Care Compare)

1051 W Rand Rd
Suite 101
Arlington Heights, IL 60004-2315
Phone (847) 212-3885

1614 W Central Rd
Suite 205
Arlington Heights, IL 60005-2453
Phone (847) 392-9191

21481 N Rand Rd
Kildeer, IL 60047-3061
Phone (847) 212-3885

800 W Central Rd
Arlington Heights, IL 60005-2349

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
O36.153403ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Community Women Services LLC Obstetrics & Gynecology CurrentSince Dec 16, 2024 Accepting new patients
Gynecological & Obstetric Assocs, S.C. Obstetrics & Gynecology CurrentSince Sep 2, 2021 Accepting new patients
Northwest Community Healthcare Past Accepting new patients

Locations

1051 W Rand Rd
Arlington Hts, IL 60004
Phone (847) 221-4601

1051 W Rand Rd
Ste 101
Arlington Hts, IL 60004
Phone (847) 212-3885

1614 W Central Rd
Arlington Hts, IL 60005
Phone (847) 259-3728

1614 W Central Rd
Ste 205
Arlington Hts, IL 60005
Phone (847) 392-9191

29651 Network Pl
Chicago, IL 60673

Interoperability endpoints

  • Direct secure messaging: devoni.bruns.d1.p1@direct.gefcc.nextgenshare.com
  • FHIR API: https://epicprdproxy.nch.org/prd-fhir/api/FHIR/R4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1154859973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2935 N CLYBOURN AVE UNIT 402",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606188190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 W CENTRAL RD STE 205",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052453",
            "telephone_number": "847-392-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNS",
        "first_name": "DEVONI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-24",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "O36.153403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.