Individual provider Active NPI

Michael David Brottman, MD

  • Cardiovascular Disease Physician
  • Elmhurst, IL
National Provider Identifier
1609820919
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036.075920 Issued in IL
Practice address
133 E Brush Hill Rd Ste 202
Elmhurst, IL 60126-5661
Phone
(331) 231-6200
Fax
(331) 231-6201
NPI assigned
May 20, 2006
Last updated
Jul 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036.075920 IL Primary
Interventional Cardiology Physician 207RI0011X 036075920 IL

Addresses

Primary practice location

133 E Brush Hill Rd Ste 202
Elmhurst, IL 60126-5661

Mailing address

133 E Brush Hill Rd Ste 202
Elmhurst, IL 60126-5661
Phone (331) 231-6200

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
I20040601000630 IL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 4082695465 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.075920ILMDCardiovascular Disease Physician
036075920ILMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Cardiovascular Institute SC Cardiovascular Disease CurrentSince Jul 1, 2021 Accepting new patients
Central Dupage Hospital Association CurrentSince Apr 21, 2011 Accepting new patients
Edward Hospital CurrentSince Jan 1, 2014 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jan 1, 2012 Accepting new patients
Elmhurst Memorial Hospital CurrentSince Jun 17, 2015 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jan 1, 2012 Accepting new patients
Central Dupage Hospital Association CurrentSince Apr 21, 2011 Accepting new patients
Edward Hospital Cardiovascular Disease CurrentSince Jan 1, 2014 Accepting new patients
Consultants in Cardiovascular Medicine, S. C. Past Accepting new patients
Midwest Heart Specialists, LTD Cardiovascular Disease Past Accepting new patients

Locations

303 W Lake St
Ste 301
Addison, IL 60101
Phone (331) 221-1650

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

Carol Stream, IL 60122

29373 Network Pl
Chicago, IL 60673

3825 Highland Ave
Ste 400
Downers Grove, IL 60515
Phone (630) 719-4799

133 E Brush Hill Rd
Ste 202
Elmhurst, IL 60126
Phone (331) 231-6200

172 E Schiller St
Elmhurst, IL 60126
Phone (331) 221-6377

2100 S Finley Rd
Lombard, IL 60148
Phone (630) 495-4000

801 S Washington St
Naperville, IL 60540
Phone (312) 355-0450

1304 Franklin Ave
Normal, IL 61761
Phone (309) 268-3590

1 E County Line Rd
Sandwich, IL 60548
Phone (815) 786-2722

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

Interoperability endpoints

  • FHIR API: https://fhirprd.edward.org/fhirprd/api/FHIR/R4/

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1609820919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 E BRUSH HILL RD STE 202",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265661",
            "telephone_number": "331-231-6200",
            "fax_number": "331-231-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E BRUSH HILL RD STE 202",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265661",
            "telephone_number": "331-231-6200",
            "fax_number": "331-231-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROTTMAN",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036.075920",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036075920",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

Verify at the official NPI Registry.