Bruce Kolton MD LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

BRUCE KOLTON MD LLC

Practice address

2500 W Higgins Rd Ste 940
Hoffman Estates, IL 60169-2085

Phone

(847) 839-9999

Fax

(847) 885-1111

NPI assigned

Apr 16, 2008

Organization subpart

No

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

Authorized official

Name

Bruce Kolton, MDNPI 1457354334

Title

Partner

Phone

(847) 839-9999

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bruce Kolton, M.D.

  • Dermatology Physician
  • Hoffman Estates, IL
  • NPI 1457354334
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1861666299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21421 NETWORK PLACE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606730001",
            "telephone_number": "847-839-9999",
            "fax_number": "847-885-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W HIGGINS RD STE 940",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601692085",
            "telephone_number": "847-839-9999",
            "fax_number": "847-885-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE KOLTON MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "KOLTON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "847-839-9999",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360475801",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Brilliant, MD
• Autumn R Brown
• Leeonna Zjanae Brown
• Michelle C. Brown, CRNA
• Bruce Goldberg MD S C
• Bruce S. Wardell DMD, PC
• Deborah Ann Bryk-Serva, M.D.
• Brzostowski Counseling Services Inc.
• Bubbles Pediatrics, LLC
• Brooke Buchanan, PA-C

• Dermatology Physician in Hoffman Estates, IL
• Providers in Hoffman Estates, IL by specialty
• Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.