Bryan Joseph Ocampo, PA-S

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

085.010471 Issued in IL

Practice address

1645 W School St
Chicago, IL 60657-2157

Phone

(773) 227-3669

NPI assigned

Sep 12, 2022

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Lakeview Immediate Care LLC

  • Specialist
  • Chicago, IL
  • NPI 1720374283
  Medicare reassignment
• Head & Neck Cosmetic Surgery Associates LLC

  • Otolaryngology Physician
  • Skokie, IL
  • NPI 1558330811
  NPD (past)

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1881315463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 W SCHOOL ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606572157",
            "telephone_number": "773-227-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 W SCHOOL ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606572157",
            "telephone_number": "773-227-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCAMPO",
        "first_name": "BRYAN",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "PA-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-12",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085.010471",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Obstetrics & Gynecology PC
• Lillian Obucina, D.D.S.
• Iclal Ocak, MD
• Jazmine Ocampo Moreno, RBT
• Brenda Ocampo, BA
• Christopher Joseph Ocampo, M.D., PH.D.
• Denise Margarita Ocampo
• Joel Manalo Ocampo, AGNP-BC
• Jose Luis Ocampo
• Margot Tuliao Ocampo, M.D.

• Medical Physician Assistant in Chicago, IL
• Providers in Chicago, IL by specialty
• Medical Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.

Verify at the official NPI Registry.