Brenda L Brak, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036081125 Issued in IL

Practice address

400 Fox Glen CT
Barrington, IL 60010-1824

Phone

(847) 382-9150

Fax

(847) 382-9155

NPI assigned

Oct 13, 2005

Last updated

Dec 15, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: bbrak237859@direct.myadvocateaurora.org

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.

• Barrington Family Healthcare, SC

  • Specialist
  • Barrington, IL
  • NPI 1891820585
  Authorized official Same address or phone

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1215925193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 FOX GLEN",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600106457",
            "telephone_number": "847-382-9150",
            "fax_number": "847-382-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FOX GLEN CT",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600101824",
            "telephone_number": "847-382-9150",
            "fax_number": "847-382-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAK",
        "first_name": "BRENDA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036081125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036081125",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bbrak237859@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "400 Fox Glen Ct",
            "city": "Barrington",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600101824",
            "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": "400 Fox Glen Ct",
            "city": "Barrington",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600101824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mitch Boyd, D.C.
• Grant Weston Boyer, PSYD
• Lara Boyle
• Nicole Brady, NP
• Brain Fitness Inc
• Michael G Braun, MD
• Kelly J Brawley, P.A.
• Gregory T. Brebach, M.D.
• Kristine Breganio
• Brenda Olsen, LCPC

• Family Medicine Physician in Barrington, IL
• Providers in Barrington, 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 Dec 15, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.