Active NPI
Robert K Brogadir, D.P.M.
- Podiatrist
- Buffalo Grove, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Practice address
- 1306 Madison Dr
Buffalo Grove, IL 60089-6826 - Phone
- (847) 634-3348
- Fax
- (847) 634-6882
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | IL | Primary |
Addresses
Primary practice location
1306 Madison Dr
Buffalo Grove, IL 60089-6826
Mailing address
1306 Madison Dr
Buffalo Grove, IL 60089-6826
Phone (847) 634-3348
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60001331 | Other | IL | BLUE CROSS- BLUE SHIELD |
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061030000063 | IL | Practitioner - Podiatry | 7618974973 | Practice locations: Libertyville, IL; Long Grove, IL; Niles, IL; Orland Park, IL; Oswego, IL; South Barrington, IL; St Charles, IL; Vernon Hills, IL… |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Buffalo Grove, IL 60089
Phone (847) 634-3348
12450 Regency Pkwy
Huntley, IL 60142-5800
Phone (847) 961-7490
156 W Dundee
Wheeling, IL 60090-4801
Phone (847) 865-8100
505 N Hunt Club Rd
Gurnee, IL 60031-2430
Phone (847) 855-1380
5656 N Newcastle Ave
The Danish Home of Chicago
Chicago, IL 60631-3108
Phone (773) 775-7383
6840 W Touhy Ave
Niles, IL 60714-4520
Phone (847) 647-8994
777 Church St
Lake Zurich, IL 60047-1404
Phone (847) 550-0555
8021 W 151St St
Orland Park, IL 60462-2963
Phone (708) 403-2732
901 Florsheim Dr
Libertyville, IL 60048-5200
Phone (847) 816-6644
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 248 |
| Removal or shaving of skin growth | 200 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephen Rivera LTD | Past | Accepting new patients | |
| Senior Healthcare Solutions Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Rolling Meadows, IL
- NPI 1518205541
-
- Psychiatry Physician
- Hawthorn Woods, IL
- NPI 1821209610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417970724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1306 MADISON DR",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600896826",
"telephone_number": "847-634-3348",
"fax_number": "847-634-6882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1306 MADISON DR",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600896826",
"telephone_number": "847-634-3348",
"fax_number": "847-634-6882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROGADIR",
"first_name": "ROBERT",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS- BLUE SHIELD",
"identifier": "60001331",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.