Bradley M Hulten, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

036-094513 Issued in IL

Practice address

1111 W Madison
Suite 2
Chicago, IL 60606

Phone

(312) 217-7546

NPI assigned

Jul 13, 2006

Last updated

Jan 18, 2011By 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 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

Specialty

Emergency Medicine

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Harvey Emergency Physicians PLLCGroup PAC ID 9436486560, 50 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ingalls Memorial Hospital Hospital, Harvey, IL, CCN 140191

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bhultenmd237214@uchospital.direct-ci.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.

• Harvey Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Calumet City, IL
  • NPI 1184281651
  Medicare reassignment Care Compare group NPD
• Chicago Skin Solutions, Inc.

  • Clinic/Center
  • Chicago, IL
  • NPI 1780829382
  NPD (past) Authorized official
• Midwest Emergency Associates-Munster, LLC

  • Emergency Medicine Physician
  • Munster, IN
  • NPI 1205166865
  NPD (past)

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

• Ingalls Memorial Hospital

  • General Acute Care Hospital
  • Harvey, IL
  • NPI 1598756686
  Care Compare affiliation

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295308800000",
    "number": "1326063736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 W. 33RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60606",
            "telephone_number": "630-205-2335",
            "fax_number": "773-376-4944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W MADISON",
            "address_2": "SUITE 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60606",
            "telephone_number": "312-217-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULTEN",
        "first_name": "BRADLEY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2011-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-094513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036094513",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Marie Hulse, MS, OTR/L
• Kyle Hulse, MD
• Jordan Hulsey
• Ryan Hulshof
• Lily Elise Hult, OTR/L
• Sarah Hults, RD, LDN
• Jesse Hultstrand
• Human Enhancement Services NFP
• Human Performance Institute of Chicago, LLC (HPI Chicago)
• Human Resource Development Institue-Alabama

• Emergency Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Emergency Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.
• 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.