Individual provider Active NPI

Colin Nathan Brown, MD

  • Diagnostic Radiology Physician
  • Chicago, IL
National Provider Identifier
1164627725
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036118058 Issued in IL
Practice address
5841 S Maryland Ave
Chicago, IL 60637-1443
Phone
(773) 702-1000
NPI assigned
Jun 15, 2007
Last updated
Mar 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036118058 IL Primary

Addresses

Primary practice location

5841 S Maryland Ave
Chicago, IL 60637-1443

Mailing address

150 Harvester Dr Ste 300
Burr Ridge, IL 60527-5965

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CA, IN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20130718000512 IL Practitioner - Diagnostic Radiology 4880781871 Reassigns benefits to 2 organizations
I20191009002302 CA Practitioner - Diagnostic Radiology 4880781871 Reassigns benefits to 3 organizations
I20240402003133 IN Practitioner - Diagnostic Radiology 4880781871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Iowa, RJ & L Carver College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of ChicagoGroup PAC ID 7719899426, 1,674 clinicians

Practice addresses (Care Compare)

10855 Virginia St
Suite 1700
Crown Point, IN 46307-0210
Phone (888) 824-0200

5841 S Maryland Ave
Chicago, IL 60637-1443
Phone (888) 824-0200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036118058ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Current Accepting new patients
The University of Chicago Medical Center CurrentSince Aug 23, 2023 Accepting new patients
Shriners Hospitals for Children CurrentSince May 26, 2020 Accepting new patients
Shriners Hospitals for Children CurrentSince May 26, 2020 Accepting new patients
The University of Chicago Medical Center CurrentSince Aug 23, 2023 Accepting new patients
Regents of the Univ of Ca Diagnostic Radiology CurrentSince Jul 15, 2019 Accepting new patients
Shriners Hospitals for Children CurrentSince May 26, 2020 Accepting new patients
Shriners Hospitals for Children Current Accepting new patients
University of Chicago CurrentSince Aug 23, 2023 Accepting new patients
Shriners Hospitals for Children Current Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Shriners Hospitals for Children Past Accepting new patients
Texas Scottish Rite Hospital for Crippled Children Past Accepting new patients
Triad Radiology & Imaging, LTD. Diagnostic Radiology Past Accepting new patients

Locations

909 S Fair Oaks Ave
Pasadena, CA 91105
Phone (213) 388-3151

909 S Fair Oaks Ave
Ste 100
Pasadena, CA 91105

2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030

2425 Stockton Blvd
Sacramento, CA 95817
Phone (916) 453-2000

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

9000 Waukegan Rd
Ste 110
Morton Grove, IL 60053
Phone (847) 213-2700

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

10855 Virginia St
Ste 1700
Crown Point, IN 46307

10855 Virginia St
Ste 2800
Crown Point, IN 46307

1500 S Lake Park Ave
Ste 109
Hobart, IN 46342
Phone (219) 942-0551

Interoperability endpoints

  • Direct secure messaging: cbrown277523@uchospital.direct-ci.com

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1164627725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 HARVESTER DR STE 300",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605275965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 S MARYLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371443",
            "telephone_number": "773-702-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "COLIN",
        "middle_name": "NATHAN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-15",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036118058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.