Active NPI
Amanda M Bramham, MD
- Family Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036-133693
- Practice address
- 1029 E 130TH St
Chicago, IL 60628-6908 - Phone
- (773) 995-6300
- NPI assigned
- Jun 8, 2010
- Last updated
- May 1, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 101592 | WI | |
| Family Medicine Physician | 207Q00000X | 83732-20 | WI | |
| Family Medicine Physician | 207Q00000X | 036-133693 | IL | Primary |
Addresses
Primary practice location
1029 E 130TH St
Chicago, IL 60628-6908
Mailing address
1005 Health Center Dr Ste 201
Mattoon, IL 61938-4693
Phone (217) 238-6055
Other practice location 1
833 S Iowa St Ste 102
Dodgeville, WI 53533-1900
Phone (608) 935-3301
Other practice location 2
200 Richmond Ave E
Mattoon, IL 61938-4652
Phone (217) 234-7000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689994014 | Medicaid | WI | |
| 1689994014 | Medicaid | IL |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | abramham506115@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1029 E 130TH St
Chicago, IL 60628-6908
Phone 7739956300254
1101 N Allen St
Robinson, IL 62454-1168
Phone (618) 544-3699
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-133693 | IL | MD | Family Medicine Physician |
| 101592 | WI | MD | Family Medicine Physician |
| 83732-20 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dean Health Systems, Inc | Family Medicine | Current | Accepting new patients |
| Tca Health Inc NFP | Current | Accepting new patients | |
| Tca Health Inc NFP | Current | Accepting new patients | |
| Crawford Hospital District | Current | Accepting new patients | |
| Dean Health Systems, Inc. | Current | Accepting new patients | |
| Crawford Hospital District | Family Medicine | Current | Accepting new patients |
| Gibson Community Hospital Association | Past | Accepting new patients | |
| Crawford Hospital District | Past | Accepting new patients |
Locations
1029 E 130th St
Chicago, IL 60628
Phone (773) 995-6300
8425 S Cottage Grove Ave
Chicago, IL 60619
Phone (708) 225-0643
1000 N Allen St
Robinson, IL 62454
Phone (618) 544-3131
1002 N Allen St
Ste B
Robinson, IL 62454
1101 N Allen St
Robinson, IL 62454
Phone (618) 544-3125
1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497
202 S Park St
Madison, WI 53715
Phone (608) 267-6000
515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000
Interoperability endpoints
- abramham506115@direct-ehr-ssmhc.com
- amanda.bramham.1@15548.direct.athenahealth.com
Organizations & group practices 8
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.
-
dba Crawford Memorial Hospital
- Internal Medicine Physician
- Robinson, IL
- NPI 1861423287
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1184757353
-
dba SSM Health Dean Medical Group
- Allergy & Immunology Physician
- Madison, WI
- NPI 1053358846
Family Medicine
-
dba CMH Specialty Clinic-Newton
- Urology Physician
- Newton, IL
- NPI 1265309405
-
dba SSM Health Davis Duehr Dean Eye Care - Portage
- Durable Medical Equipment & Medical Supplies
- Portage, WI
- NPI 1427085679
-
- Federally Qualified Health Center (FQHC)
- Hammond, IN
- NPI 1093404576
-
dba Crawford Hospital District DBA CMH Rural Health Oblong
- Rural Health Clinic/Center
- Oblong, IL
- NPI 1790769073
-
dba Gibson Area Hospital and Health Services
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CMH Specialty Clinic-Newton
- Urology Physician
- Newton, IL
- NPI 1265309405
Hospital
-
dba Crawford Memorial Hospital and Health Services
- Critical Access Hospital
- Robinson, IL
- NPI 1265493720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746057600000",
"number": "1689994014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 HEALTH CENTER DR STE 201",
"city": "MATTOON",
"state": "IL",
"postal_code": "619384693",
"telephone_number": "217-238-6055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1029 E 130TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606286908",
"telephone_number": "773-995-6300"
}
],
"practiceLocations": [
{
"address_1": "833 S Iowa St Ste 102",
"address_purpose": "LOCATION",
"city": "Dodgeville",
"state": "WI",
"postal_code": "535331900",
"country_code": "US",
"telephone_number": "608-935-3301",
"fax_number": "608-935-3823",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Richmond Ave E",
"address_purpose": "LOCATION",
"city": "Mattoon",
"state": "IL",
"postal_code": "619384652",
"country_code": "US",
"telephone_number": "217-234-7000",
"fax_number": "217-234-7011",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRAMHAM",
"first_name": "AMANDA",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-08",
"last_updated": "2025-05-01",
"certification_date": "2025-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "101592",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "83732-20",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036-133693",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1689994014",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1689994014",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "abramham506115@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "abramham506115@direct-ehr-ssmhc.com",
"address_1": "833 S Iowa St Ste 102",
"city": "Dodgeville",
"state": "WI",
"country_code": "US",
"postal_code": "535331900",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "833 S Iowa St Ste 102",
"city": "Dodgeville",
"state": "WI",
"country_code": "US",
"postal_code": "535331900",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; 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.