Kurt J Brotherson

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KURT J BROTHERSON

Practice address

840 S Waukegan Rd
203
Lake Forest, IL 60045-2608

Phone

(847) 482-0136

NPI assigned

Jul 1, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Kurt J Brotherson, M.D.

Title

Sole Proprietor

Phone

(847) 482-0136

Specialties & licenses 1

Addresses

Tax ID family

Kurt J Brotherson2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kurt J Brotherson MD

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1932268414
  NPD tax ID

Locations

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467331200000",
    "number": "1609228683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 S WAUKEGAN RD",
            "address_2": "203",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600452608",
            "telephone_number": "847-482-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 S WAUKEGAN RD",
            "address_2": "203",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600452608",
            "telephone_number": "847-482-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KURT J BROTHERSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-01",
        "last_updated": "2016-07-01",
        "status": "A",
        "authorized_official_last_name": "BROTHERSON",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "847-482-0136",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Krupka, CNS, LDN
• Jennifer Krusinski, LSW
• Kathryn Krzykala, LCSW CAMS-II
• Abigail Lauren Kulis
• Elizabeth P Kunreuther, M.D.
• Nelly W. Kvirikadze, MD
• Stephen Byungchul Kwak, DO
• Alex B Labby, MD
• Kevin M Lage
• Colleen Marie Lahendro, APRN, CNP

• Family Medicine Physician in Lake Forest, IL
• Providers in Lake Forest, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; 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.