Jas Brar M.D., S.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036.120864 Issued in IL

Legal business name

JAS BRAR M.D., S.C.

Practice address

701 Winthrop Ave
Glendale Heights, IL 60139-1405

Phone

(630) 545-4935

Fax

(630) 592-2239

NPI assigned

May 6, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jasdip Singh Brar, M.D.NPI 1386820058

Title

Physician

Phone

(630) 545-4935

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Interoperability endpoints

• Direct secure messaging: drjasbrar@direct.practicefusion.com

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jasdip Singh Brar, M.D.

  • Internal Medicine Physician
  • Glendale Heights, IL
  • NPI 1386820058
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572048000000",
    "number": "1356669923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 ASTORIA CT",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600105177",
            "telephone_number": "630-545-4935",
            "fax_number": "630-592-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 WINTHROP AVE",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601391405",
            "telephone_number": "630-545-4935",
            "fax_number": "630-592-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAS BRAR M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-06",
        "last_updated": "2019-10-26",
        "status": "A",
        "authorized_official_last_name": "BRAR",
        "authorized_official_first_name": "JASDIP",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "630-545-4935",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.120864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036120864",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drjasbrar@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "practice fusion direct messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "701 Winthrop Ave",
            "city": "Glendale Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601391405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drjasbrar@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "practice fusion direct messaging",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "701 Winthrop Ave",
            "city": "Glendale Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601391405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Internal Medicine Physician in Glendale Heights, IL
• Providers in Glendale Heights, 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 Oct 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.