Victoria S Brkovich, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

036-115025 Issued in IL

Practice address

11 Salt Creek LN Ste 101
Hinsdale, IL 60521-3032

Phone

(630) 789-3110

NPI assigned

Jun 24, 2006

Sex

Female

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BBBACA

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.

• KSB Medical Group, Inc.

  • Family Medicine Physician
  • Dixon, IL
  • NPI 1073592119
  Medicare reassignment NPD
• Medical Arts Unlimited Inc

  • Otolaryngology Physician
  • Libertyville, IL
  • NPI 1285609990
  Medicare reassignment NPD

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1699701268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SALT CREEK LN STE 101",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213032",
            "telephone_number": "630-789-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SALT CREEK LN STE 101",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213032",
            "telephone_number": "630-789-3110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Salt Creek Ln Ste 101",
            "address_purpose": "LOCATION",
            "city": "Hinsdale",
            "state": "IL",
            "postal_code": "605213032",
            "country_code": "US",
            "telephone_number": "630-789-3110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRKOVICH",
        "first_name": "VICTORIA",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "036-115025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridging Hearts & Embracing Growth Therapy
• Cynthia H. Briggs, D.C.
• Bright Beginnings With Meg Herr, PLLC
• Amanda Briones
• Benjamin Brito
• Steven Broderick, M.D.
• Yehuda Leor Bromberg, NP
• Alison Marie Brophy, D.O.
• Alyssa C Brown, DDS
• Eric Martin Brown, LCPC

• Otolaryngology Physician in Hinsdale, IL
• Providers in Hinsdale, IL by specialty
• Otolaryngology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.