Bradley S. Ross, D.P.M., P.C.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

016-004242 Issued in IL

Legal business name

BRADLEY S. ROSS, D.P.M., P.C.

Practice address

7126 N Lincoln Ave
Lincolnwood, IL 60712-2234

Phone

(847) 673-1818

Fax

(847) 583-9196

NPI assigned

Feb 14, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Bradley S Ross, D.P.M.

Title

President

Phone

(847) 673-1818

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1194993956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7126 N LINCOLN AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607122234",
            "telephone_number": "847-673-1818",
            "fax_number": "847-583-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7126 N LINCOLN AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607122234",
            "telephone_number": "847-673-1818",
            "fax_number": "847-583-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY S. ROSS, D.P.M., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-673-1818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "IL",
            "license": "016-004242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn E. Bole, OTR/L
• Bourdage Chiropractic, SC
• Steven Robert Bourdage, DC
• Bradely S Ross, DPM PC
• Braden Partners LP
• Dhara Brahmbhatt
• Eliezer David Brand, LSW
• Brave Beginning Psychotherapy
• Tracy Callahan Breitenstein, OTR
• Leah Brennan, LMFT, CADC

• Foot Surgery Podiatrist in Lincolnwood, IL
• Providers in Lincolnwood, IL by specialty
• Foot Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.