Individual provider Active NPI

Laurent Brard, MD, PHD

  • Gynecologic Oncology Physician
  • Springfield, IL
National Provider Identifier
1346278041
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
036127342 Issued in IL
Practice address
415 N 9TH St
Ste 6W70
Springfield, IL 62702-5303
Phone
(217) 545-8882
Fax
(217) 545-7958
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X 036127342 IL Primary

Addresses

Primary practice location

415 N 9TH St
Ste 6W70
Springfield, IL 62702-5303

Mailing address

PO Box 19640
Springfield, IL 62794-9640
Phone (217) 545-8000

Other identifiers 1

IdentifierTypeStateIssuer
036127342MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address laurentbrard@siusm.allscriptsdirect.net

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110617000610 IL Practitioner - Gynecological Oncology 3274563861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gynecological Oncology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Menard Medical Center, LLCGroup PAC ID 2769547090, 9 clinicians
Memorial Physician ServicesGroup PAC ID 9032005681, shared by 6 NPIs, 161 clinicians
Siu Physicians and Surgeons IncGroup PAC ID 2365352820, 316 clinicians

Practice addresses (Care Compare)

1 Centre Dr
Petersburg, IL 62675-9467

415 N 9TH St
Springfield, IL 62702-5303
Phone (217) 545-5817

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Skin biopsy1-10
Removal of the uterus24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Board of Trustees of Southern Illinois University Current Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Jun 1, 2011 Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Jun 1, 2011 Accepting new patients
Siu Physicians & Surgeons, Inc Past Accepting new patients
Women & Infants Hospital of Rhode Island Past Accepting new patients
Wih Faculty Physicians, Inc Gynecologic Oncology Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

415 N 9th St
Springfield, IL 62702
Phone (217) 545-5117

415 N 9th St
Ste 6W70
Springfield, IL 62702
Phone (217) 545-8882

315 W Carpenter St
Fl 2
Springfield, IL 62702
Phone (217) 545-1025

751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182

Interoperability endpoints

  • Direct secure messaging: laurentbrard@siusm.allscriptsdirect.net

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1346278041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19640",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627949640",
            "telephone_number": "217-545-8000",
            "fax_number": "217-545-7958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N 9TH ST",
            "address_2": "STE 6W70",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627025303",
            "telephone_number": "217-545-8882",
            "fax_number": "217-545-7958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRARD",
        "first_name": "LAURENT",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "IL",
            "license": "036127342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036127342",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "laurentbrard@siusm.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "415 N 9th St",
            "address_2": "ste 6W70",
            "city": "Springfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "627025303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.