Active NPI
Brian Schurgin, M.D.
- Emergency Medicine Physician
- Berwyn, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036-076080
- Practice address
- 3249 Oak Park Ave
Berwyn, IL 60402-3429 - Phone
- (708) 783-9100
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036-076080 | IL | Primary |
| Emergency Medicine Physician | 207P00000X | 60246850 | NY | |
| Emergency Medicine Physician | 207P00000X | 2009006321 | MO |
Addresses
Primary practice location
3249 Oak Park Ave
Berwyn, IL 60402-3429
Mailing address
75 Remitt Drive
Lockbox 1209
Chicago, IL 60675-1209
Phone (866) 916-5259
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02950094 | Medicaid | NY | |
| 036076080 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Michigan Medical School, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 Medical Dr
Wentzville, MO 63385-3421
Phone (636) 327-1000
Hospital & facility affiliations
- SSM St Joseph Health Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 70.94
- Improvement activities
- 40
- Cost
- 92.94
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-076080 | IL | MD | Emergency Medicine Physician |
| 60246850 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America, LLC | Emergency Medicine | Current | Accepting new patients |
| BC Missouri Emergency Physicians, LLP | Emergency Medicine | Past | Accepting new patients |
| Hillsdale Emergency Group PC | Emergency Medicine | Past | Accepting new patients |
| Berwyn Emergency Physicians, LLP | Emergency Medicine | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
100 Medical Plz
Lake St Louis, MO 63367
Phone (636) 625-5200
300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211
6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442
10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328
500 Medical Dr
Wentzville, MO 63385
Phone (636) 327-1000
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Saint Louis, MO
- NPI 1619332046
-
- Emergency Medicine Physician
- Wentzville, MO
- NPI 1568017994
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
- Emergency Medicine Physician
- Berwyn, IL
- NPI 1649295312
-
- Emergency Medicine Physician
- Sullivan, MO
- NPI 1679598247
-
- Emergency Medicine Physician
- Hillsdale, MI
- NPI 1831418516
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Charles, MO
- NPI 1467521146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578873600000",
"number": "1679590293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 REMITT DRIVE",
"address_2": "LOCKBOX 1209",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606751209",
"telephone_number": "866-916-5259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3249 OAK PARK AVE",
"city": "BERWYN",
"state": "IL",
"postal_code": "604023429",
"telephone_number": "708-783-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHURGIN",
"first_name": "BRIAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2020-01-13",
"certification_date": "2020-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036-076080",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "60246850",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "2009006321",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02950094",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036076080",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Berwyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; 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.