Michael Brunner, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036.133928 Issued in IL

Practice address

1041 W Stearns Rd
Bartlett, IL 60103-4509

Phone

(630) 716-7500

NPI assigned

Jul 9, 2009

Last updated

Mar 11, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Specialty

Family Practice

Education

Midwestern University College of Dental Medicine, Glendale, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Bonaventure Medical Foundation LLCGroup PAC ID 7517863178, 164 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Alexius Medical Center Hospital, Hoffman Estates, IL, CCN 140290
• Alexian Brothers Medical Center 1 Hospital, Elk Grove Village, IL, CCN 140258

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.brunner.1@380.direct.athenahealth.com

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.

• Bonaventure Medical Foundation, LLC

  dba Alexian Brothers Medical Foundation

  • Family Medicine Physician
  • Elk Grove Village, IL
  • NPI 1588775647
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Alexian Brothers Medical Center

  • General Acute Care Hospital
  • Elk Grove Village, IL
  • NPI 1265577191
  Care Compare affiliation
• St. Alexius Medical Center

  • General Acute Care Hospital
  • Hoffman Estates, IL
  • NPI 1376644385
  Care Compare affiliation

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1215166319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 E LAKE ST",
            "address_2": "ATTN: ABMG PRIMARY CARE",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601334869",
            "telephone_number": "630-483-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 W STEARNS RD",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601034509",
            "telephone_number": "630-716-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 E Lake St",
            "address_2": "ATTN: ABMG PRIMARY CARE",
            "address_purpose": "LOCATION",
            "city": "Hanover Park",
            "state": "IL",
            "postal_code": "601334869",
            "country_code": "US",
            "telephone_number": "630-483-3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNNER",
        "first_name": "MICHAEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-09",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.133928",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": "125055948",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.brunner.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1041 W Stearns Rd",
            "city": "Bartlett",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601034509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brewster Creek Speech and Language Therapy
• Patricia Brillo, PHARMD.
• Kristie Brockway
• Katherine Lynn Brookhart, PT
• Erin Brumfield Grima, LCPC
• Kenneth Lee Bryan Jr., DC
• Jennifer L. Bryant, P.T.
• Theresa Ann Bull, D.C.
• Leslie Burke, LCPC
• Muhammad Moazzam Iqbal Butt, CPHT

• Family Medicine Physician in Bartlett, IL
• Providers in Bartlett, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.