Keith M Bram, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

028053 Issued in IL

Practice address

5145 Washington St
Downers Grove, IL 60515-4701

Phone

(630) 963-9280

Fax

(630) 964-6980

NPI assigned

May 4, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wayne S Jacobson DDS LTD

  • General Practice Dentistry
  • Lisle, IL
  • NPI 1871712984
  NPD (past)

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1609088418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5145 WASHINGTON ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605154701",
            "telephone_number": "630-963-9280",
            "fax_number": "630-964-6980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5145 WASHINGTON ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605154701",
            "telephone_number": "630-963-9280",
            "fax_number": "630-964-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAM",
        "first_name": "KEITH",
        "middle_name": "M",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "028053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey Bowlds
• Kathleen Boyce, AUD
• Carolyn Boyer, LCPC
• Deborah Ayuste Boyle, M.D.
• Elizabeth Boyles
• Renee J. Branch, M.S., CCC-SLP
• Anna B Branski, MA, BCBA
• Aubrey D Breithaupt, OD
• Khin Khin Bremer, MD
• William Michael Brennan Sr., DDS

• Dentist in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.