Individual provider Active NPI

Bradley Fine

  • Anesthesiology Physician
  • Naperville, IL
National Provider Identifier
1457464893
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036-088082 Issued in IL
Practice address
40 Shuman Blvd. Suite 275
West Central Anesthesiology Group LTD.
Naperville, IL 60563
Phone
(630) 868-2200
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036-088082 IL Primary

Addresses

Primary practice location

40 Shuman Blvd. Suite 275
West Central Anesthesiology Group LTD.
Naperville, IL 60563

Mailing address

40 Shuman Blvd. Suite 275
West Central Anesthesiology Group LTD.
Naperville, IL 60563
Phone (630) 868-2200

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
I20040715000031 IL Practitioner - Anesthesiology 1052390945 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Anesthesiologists Chicago LLCGroup PAC ID 9436119542, 47 clinicians

Practice addresses (Care Compare)

9550 W Higgins Rd
Suite 1100
Rosemont, IL 60018-4962
Phone (773) 355-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-088082ILMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Physician Group CurrentSince Mar 1, 2020 Accepting new patients
West Central Anesthesiology Group LTD. Anesthesiology Current Accepting new patients
Mobile Anesthesiologists Chicago LLC Anesthesiology CurrentSince Jan 8, 2024 Accepting new patients
Central Dupage Physician Group CurrentSince Mar 1, 2020 Accepting new patients
Chicago Area Partners in Anesthesia LLC Anesthesiology Past Accepting new patients
The Board of Trustees of the University of Illinois PastSince Apr 6, 2023 Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

300 Randall Rd
Geneva, IL 60134
Phone (630) 208-4009

40 S Clay St
Hinsdale, IL 60521
Phone (630) 323-4202

1243 Rickert Dr
Naperville, IL 60540
Phone (630) 303-5650

9550 W Higgins Rd
Ste 1100
Rosemont, IL 60018
Phone (773) 756-5760

8930 Gross Point Rd
Ste 700
Skokie, IL 60077
Phone (847) 966-8930

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600

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.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349136000000",
    "number": "1457464893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SHUMAN BLVD. SUITE 275",
            "address_2": "WEST CENTRAL ANESTHESIOLOGY GROUP LTD.",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "60563",
            "telephone_number": "630-868-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 SHUMAN BLVD. SUITE 275",
            "address_2": "WEST CENTRAL ANESTHESIOLOGY GROUP LTD.",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "60563",
            "telephone_number": "630-868-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINE",
        "first_name": "BRADLEY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2012-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036-088082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.