Bradley Lane Ashpole, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

036113854 Issued in IL

Practice address

1107 N Prospect Ave
Itasca, IL 60143-1408

Phone

(847) 884-8346

Fax

(847) 739-0969

NPI assigned

Jul 24, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Plastic and Reconstructive SurgeryAlso: Hand Surgery

Education

Saint Louis University School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9458/brand/1/csg/1/fhir/r4

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.

• Bradley Ashpole MD LLC

  • Plastic Surgery Physician
  • Itasca, IL
  • NPI 1710487095
  Medicare reassignment NPD Authorized official
• Ashpole Surgery Center LLC

  • Plastic Surgery Physician
  • Itasca, IL
  • NPI 1063249357
  NPD Authorized official
• Comprehensive Surgical Specialists LLC

  • Orthopaedic Surgery Physician
  • Merrillville, IN
  • NPI 1275799199
  NPD (past)

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1457516866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 W ESTATE LN E",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600453623",
            "telephone_number": "847-650-5818",
            "fax_number": "312-660-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 N PROSPECT AVE",
            "city": "ITASCA",
            "state": "IL",
            "postal_code": "601431408",
            "telephone_number": "847-884-8346",
            "fax_number": "847-739-0969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHPOLE",
        "first_name": "BRADLEY",
        "middle_name": "LANE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-24",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "IL",
            "license": "036113854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nour Al-Hadidi, MD
• Ariana Aldama
• Faith Appiagyei
• Arbor of Itasca, Inc
• Ashpole Surgery Center LLC
• Michaela Austin
• Alexander Ayala, RBT-18-52915
• Lesgreen Gammad Babaran, PT
• Tatyana Bannon
• Alaina Barksdale

• Plastic Surgery Physician in Itasca, IL
• Providers in Itasca, IL by specialty
• Plastic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.