Active NPI
James Michael Brophy, DO
- Vascular & Interventional Radiology Physician
- Maywood, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 036.157324
- Practice address
- 2160 S 1St Ave
Maywood, IL 60153-3328 - Phone
- (888) 584-7888
- NPI assigned
- Apr 11, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | 036.157324 | IL | Primary |
Addresses
Primary practice location
2160 S 1St Ave
Maywood, IL 60153-3328
Mailing address
2160 S 1St Ave
Maywood, IL 60153-3328
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- 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
- Diagnostic Radiology
- Education
- Chicago College of Osteopathy, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20201 Crawford Ave
Olympia Fields, IL 60461-1010
Phone (309) 671-8282
Hospital & facility affiliations
- Ingalls Memorial Hospital
- Franciscan Health Olympia & Chicago Heights
- The University of Chicago Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.157324 | IL | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swedishamerican Hospital | Current | Accepting new patients | |
| Specialists in Medical Imaging, SC | Vascular & Interventional Radiology | Current | Accepting new patients |
| Saint Joseph Regional Medical Center, Inc. | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center, Inc. | Current | Accepting new patients | |
| Swedishamerican Hospital | Current | Accepting new patients | |
| Swedishamerican Hospital | Current | Accepting new patients | |
| Radiology Partners of Iowa Inc | Vascular & Interventional Radiology | Past | Accepting new patients |
Locations
1001 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 472-4111
20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857
600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151
1000 N Allen St
Robinson, IL 62454
Phone (618) 544-3131
1401 E State St
Rockford, IL 61104
Phone (815) 489-4267
6824 Newburg Rd
Rockford, IL 61108
Phone (779) 696-7610
611 E Douglas Rd
Ste 200
Mishawaka, IN 46545
Phone (574) 272-5347
611 E Douglas Rd
Ste 309
Mishawaka, IN 46545
Phone (574) 335-6232
5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443
616 E 13th St
Winamac, IN 46996
Phone (574) 946-2100
Interoperability endpoints
- jbrophy4105660@direct.trinity-health.org
Organizations & group practices 9
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.
-
- Diagnostic Radiology Physician
- Olympia Fields, IL
- NPI 1841687951
Vascular & Interventional Radiology
-
- Family Medicine Physician
- Rockford, IL
- NPI 1962451732
-
- Pulmonary Disease Physician
- Plymouth, IN
- NPI 1225082878
-
- Critical Access Hospital
- Robinson, IL
- NPI 1265493720
-
- Internal Medicine Physician
- Robinson, IL
- NPI 1861423287
-
- Family Medicine Physician
- Rockford, IL
- NPI 1225126873
-
- Community/Retail Pharmacy
- Rockford, IL
- NPI 1306635982
-
- Family Medicine Physician
- Mishawaka, IN
- NPI 1467406074
-
- Diagnostic Radiology Physician
- Ottumwa, IA
- NPI 1881139566
Vascular & Interventional Radiology
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Olympia Fields, IL
- NPI 1588771919
-
- General Acute Care Hospital
- Harvey, IL
- NPI 1598756686
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1508956509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684195200000",
"number": "1922505304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2160 S 1ST AVE",
"city": "MAYWOOD",
"state": "IL",
"postal_code": "601533328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2160 S 1ST AVE",
"city": "MAYWOOD",
"state": "IL",
"postal_code": "601533328",
"telephone_number": "888-584-7888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROPHY",
"first_name": "JAMES",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-11",
"last_updated": "2023-05-16",
"certification_date": "2023-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "IL",
"license": "036.157324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maywood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.