Brian Charles Ruiz, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036-068269 Issued in IL

Practice address

7843 Nevois LN
East Carondelet, IL 62240-1535

Phone

(618) 286-4438

NPI assigned

Oct 26, 2006

Last updated

Apr 19, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: brian.ruiz.1@13162.direct.athenahealth.com

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.

• Red Bud Illinois Hospital Company, LLC

  dba Older Adult Health Center

  • Family Medicine Physician
  • Red Bud, IL
  • NPI 1740387042
  NPD (past)
• Red Bud Physician Group LLC

  • Emergency Medicine Physician
  • Red Bud, IL
  • NPI 1053619148
  NPD (past)
• Waterloo Medical Center PC

  • Rehabilitation Chiropractor
  • Waterloo, IL
  • NPI 1750421194
  NPD (past)
• Baron Health Service, LLC

  • Electroneurodiagnostic Specialist/Technologist
  • Saint Louis, MO
  • NPI 1104059641

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303171200000",
    "number": "1821173154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7843 NEVOIS LN",
            "city": "EAST CARONDELET",
            "state": "IL",
            "postal_code": "622401535",
            "telephone_number": "618-286-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7843 NEVOIS LN",
            "city": "EAST CARONDELET",
            "state": "IL",
            "postal_code": "622401535",
            "telephone_number": "618-286-4438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "BRIAN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2011-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-068269",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2001026972",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna L Davenport, NP

• Internal Medicine Physician in East Carondelet, IL
• Providers in East Carondelet, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; 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.