Kurt Jeffrey Brotherson, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C42117 Issued in CA

Practice address

700 N Westmoreland Rd
BLDG B
Lake Forest, IL 60045-1679

Phone

(847) 482-0136

Fax

(847) 482-0302

NPI assigned

Dec 12, 2006

Sex

Male

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

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

Practice roles

Locations

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.

• Rush Oak Park Physicians Group Adult Medicine

  • Adult Medicine Physician
  • Oak Park, IL
  • NPI 1548531924

  Internal Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1306907779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N WESTMORELAND RD",
            "address_2": "BLDG B",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451679",
            "telephone_number": "847-482-0136",
            "fax_number": "847-482-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N WESTMORELAND RD",
            "address_2": "BLDG B",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451679",
            "telephone_number": "847-482-0136",
            "fax_number": "847-482-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROTHERSON",
        "first_name": "KURT",
        "middle_name": "JEFFREY",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C42117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C421170",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Henry T Bream III, AT
• Jana Bricker
• Daniel Mark Briggs, M.D.
• Patricia Briggs, ED.S.
• Kathryn Brito, PT, DPT
• Alyssa Brown, DNP, AGACNP-BC
• Jeanne Brucato
• Rachel Buchek
• Sheri Bulwa, MSW
• Jennifer Lauren Burkhart, OTR/L

• Internal Medicine Physician in Lake Forest, IL
• Providers in Lake Forest, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.