Individual provider Active NPI

Brian E Lundeen, MD

  • Diagnostic Radiology Physician
  • St Francis, WI
National Provider Identifier
1194775445
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
30528 Issued in WI
Practice address
2000 E Layton Ave
St Francis, WI 53235-6053
Phone
(414) 744-6589
Fax
(414) 747-8848
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Radiology Physician 2085P0229X 036-088572 IL
Diagnostic Radiology Physician 2085R0202X 036-088572 IL
Diagnostic Radiology Physician 2085R0202X 30528 WI Primary

Addresses

Primary practice location

2000 E Layton Ave
St Francis, WI 53235-6053

Mailing address

PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250

Other practice location 1

2900 W Oklahoma Ave
Milwaukee, WI 53215-4330
Phone (414) 649-6000

Other practice location 2

45 Tower Ct Ste C
Gurnee, IL 60031-3376
Phone (847) 623-3200

Other identifiers 3

IdentifierTypeStateIssuer
036-088572MedicaidIL
31882600MedicaidWI
202926OtherILGROUP PTAN

Electronic endpoints 4

TypeEndpointUseAffiliation
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address blundeen102721@direct.myadvocateaurora.org
Direct Messaging Address blundeen102721@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI, IA3 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
I20041130000286 IL Practitioner - Diagnostic RadiologyPractitioner - Pediatric Medicine 8123083300 Reassigns benefits to 3 organizations
I20050504000245 WI Practitioner - Diagnostic Radiology 8123083300 Reassigns benefits to 4 organizations
I20141217000237 IA Practitioner - Diagnostic Radiology 8123083300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
R Franklin University of Med & Sci/Chicago Medical School, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians
Aurora Advanced Healthcare, Inc.Group PAC ID 3375625833, 1,107 clinicians

Practice addresses (Care Compare)

1020 N 12TH St
Milwaukee, WI 53233-1308
Phone (414) 219-3056

1032 E Sumner St
Hartford, WI 53027-1608
Phone (262) 673-2300

10400 75TH St
Kenosha, WI 53142-7884
Phone (262) 948-7000

13250 Washington Ave
Mount Pleasant, WI 53177-1516
Phone (262) 884-4000

146 E Geneva SQ
Lake Geneva, WI 53147-9694
Phone (262) 249-5000

210 Wisconsin American Dr
Fond Du Lac, WI 54937-2999
Phone (920) 907-4800

2414 Kohler Memorial Dr
Sheboygan, WI 53081-3129
Phone (920) 457-4461

248 McHenry St
Burlington, WI 53105-1828
Phone (262) 767-8000

252 McHenry St
Burlington, WI 53105-1828
Phone (262) 767-7000

2600 Kiley Way
Plymouth, WI 53073-5020
Phone (920) 449-7000

2900 W Oklahoma Ave
Milwaukee, WI 53215-4330
Phone (414) 646-5410

3003 University Dr
Marinette, WI 54143-4110
Phone (715) 735-6621

3003 W Good Hope Rd
Milwaukee, WI 53209-2042
Phone (414) 352-3100

3400 Union Ave
Sheboygan, WI 53081-8426
Phone (920) 828-2530

3509 Dewey St
Manitowoc, WI 54220-5813
Phone (920) 686-5731

36500 Aurora Dr
Summit, WI 53066-4899
Phone (262) 434-5000

5000 Memorial Dr
Two Rivers, WI 54241-3900
Phone (920) 794-5000

5900 S Lake Dr
Cudahy, WI 53110-3171
Phone (414) 489-9000

6901 W Edgerton Ave
Milwaukee, WI 53220-4420
Phone (414) 421-8400

709 Spring Valley Rd
Burlington, WI 53105-7614
Phone (262) 767-6020

8400 Washington Ave
Mount Pleasant, WI 53406-3735
Phone (262) 321-3000

855 N Westhaven Dr
Oshkosh, WI 54904-7668
Phone (920) 303-8700

8901 W Lincoln Ave
West Allis, WI 53227-2409
Phone (414) 329-5930

9000 W Sura LN
Greenfield, WI 53228-3477
Phone (414) 246-6800

9200 W Loomis Rd
Franklin, WI 53132-8887
Phone (414) 529-9200

Hospital & facility affiliations

  • West Allis Memorial Hospital Hospital, West Allis, WI, CCN 520139
  • Aurora St Lukes Medical Center Hospital, Milwaukee, WI, CCN 520138
  • Aurora Medical Center Sheboygan County Hospital, Sheboygan, WI, CCN 520035
  • Aurora Lakeland Medical Center Hospital, Elkhorn, WI, CCN 520102
  • Aurora Medical Center Hospital, Grafton, WI, CCN 520207

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-088572ILMDPediatric Radiology Physician
30528WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amg Illinois LTD CurrentSince Jul 2, 2019 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Oct 1, 2020 Accepting new patients
Northwestern Medical Faculty Foundation Pediatric Radiology CurrentSince Sep 1, 2013 Accepting new patients
Milwaukee Radiologists LTD Diagnostic Radiology CurrentSince Oct 1, 2013 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Sep 1, 2013 Accepting new patients
Aurora Advanced Healthcare Inc CurrentSince Jul 1, 2019 Accepting new patients
Advocate Health & Hospitals Corporation CurrentSince Oct 1, 2020 Accepting new patients
Amg Illinois LTD CurrentSince Jul 2, 2019 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jul 1, 2019 Accepting new patients
Aurora Advanced Healthcare, Inc. CurrentSince Jul 1, 2019 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Lakeshore Medical Clinic, LLC CurrentSince Jul 1, 2019 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jul 1, 2019 Accepting new patients
Aurora Medical Group, Inc. Pediatric Radiology Current Accepting new patients
Contract X-Ray Services, Inc. CurrentSince Apr 6, 2017 Accepting new patients
Global Medical Imaging, SC Diagnostic Radiology Past Accepting new patients
Pediatric Diagnostic Imaging, S.C. PastSince Feb 16, 2010 Accepting new patients

Locations (25 of 28)

3421 W 9th St
Waterloo, IA 50702
Phone (319) 272-7050

2151 Waukegan Rd
Ste 150
Bannockburn, IL 60015
Phone (847) 298-2192

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

Dept 5777
Carol Stream, IL 60122

29373 Network Pl
Chicago, IL 60673

39856 Treasury Ctr
Chicago, IL 60694

25 Tower Ct
Ste A
Gurnee, IL 60031
Phone (847) 249-3700

45 Tower Ct
#C
Gurnee, IL 60031
Phone (847) 623-3200

7505 Grand Ave
Gurnee, IL 60031
Phone (847) 245-8448

45 Tower Ct
Gurnee, IL 60031
Phone (847) 623-3200

660 N Westmoreland Rd
Lake Forest, IL 60045
Phone (847) 535-6100

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870

4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520

26W171 Roosevelt Rd
Wheaton, IL 60187
Phone (630) 462-4000

707 S University Ave
Beaver Dam, WI 53916
Phone (920) 887-4006

10500 W Loomis Rd
Ste 120
Franklin, WI 53132
Phone (414) 488-1111

3111 W Rawson Ave
Franklin, WI 53132
Phone (414) 325-4300

3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100

6150 W Layton Ave
Ste 110
Greenfield, WI 53220
Phone (414) 761-8346

12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

6150 W Layton Ave
Milwaukee, WI 53220

3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (414) 389-2233

2900 W Oklahoma Ave
Milwaukee, WI 53215
Phone (414) 385-2590

Interoperability endpoints

  • Direct secure messaging: blundeen102721@direct.myadvocateaurora.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 8

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1194775445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735044",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606735044",
            "telephone_number": "800-326-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E LAYTON AVE",
            "city": "ST FRANCIS",
            "state": "WI",
            "postal_code": "532356053",
            "telephone_number": "414-744-6589",
            "fax_number": "414-747-8848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 W Oklahoma Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532154330",
            "country_code": "US",
            "telephone_number": "414-649-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45 Tower Ct Ste C",
            "address_purpose": "LOCATION",
            "city": "Gurnee",
            "state": "IL",
            "postal_code": "600313376",
            "country_code": "US",
            "telephone_number": "847-623-3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUNDEEN",
        "first_name": "BRIAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "IL",
            "license": "036-088572",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036-088572",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "30528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-088572",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31882600",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "202926",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2900 W Oklahoma Ave",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532154330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "blundeen102721@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "2900 W Oklahoma Ave",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532154330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "blundeen102721@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "45 Tower Ct Ste C",
            "city": "Gurnee",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600313376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "45 Tower Ct Ste C",
            "city": "Gurnee",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600313376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St Francis, WI

Sources for this page

Verify at the official NPI Registry.