Individual provider Active NPI

Brent E Richardson, MD

  • Otolaryngology Physician
  • Downers Grove, IL
National Provider Identifier
1942399225
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
036092502 Issued in IL
Practice address
3010 Highland Pkwy Ste 250
Downers Grove, IL 60515-5545
Phone
(630) 724-1100
Fax
(630) 724-0084
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 036092502 IL Primary

Addresses

Primary practice location

3010 Highland Pkwy Ste 250
Downers Grove, IL 60515-5545

Mailing address

3010 Highland Pkwy Ste 250
Downers Grove, IL 60515-5545
Phone (630) 724-1100

Other identifiers 1

IdentifierTypeStateIssuer
9000841524206MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address brent.richardson@direct.bastianvoice.nextgenshare.com
FHIR URL https://fhir.nextgen.com/nge/prod/fhir-api/fhir/dstu2

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040310000111 IL Practitioner - Otolaryngology 7113815127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Washington School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Midwest ENT Alliance PLLCGroup PAC ID 5294276259, 97 clinicians

Practice addresses (Care Compare)

3010 Highland Pkwy
Suite 550
Downers Grove, IL 60515-5500
Phone (630) 724-1100

Hospital & facility affiliations

  • Advocate Good Samaritan Hospital Hospital, Downers Grove, IL, CCN 140288
  • Advocate Good Shepherd Hospital Hospital, Barrington, IL, CCN 140291
  • Northwestern Medicine McHenry Hospital, McHenry, IL, CCN 140116
  • Alexian Brothers Medical Center 1 Hospital, Elk Grove Village, IL, CCN 140258

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036092502ILMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest ENT Alliance PLLC Otolaryngology CurrentSince Nov 1, 2024 Accepting new patients

Locations

3010 Highland Pkwy
Ste 550
Downers Grove, IL 60515
Phone (630) 724-1100

3811 Highland Ave
Downers Grove, IL 60515
Phone (630) 852-9300

3010 Highland Pkwy
Ste 250
Downers Grove, IL 60515
Phone (630) 724-1100

3815 Highland Ave
Downers Grove, IL 60515
Phone (630) 275-5900

Interoperability endpoints

  • Direct secure messaging: brent.richardson@direct.bastianvoice.nextgenshare.com

Organizations & group practices 1

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1942399225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 HIGHLAND PKWY STE 250",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605155545",
            "telephone_number": "630-724-1100",
            "fax_number": "630-724-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 HIGHLAND PKWY STE 250",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605155545",
            "telephone_number": "630-724-1100",
            "fax_number": "630-724-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "BRENT",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "036092502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000841524206",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brent.richardson@direct.bastianvoice.nextgenshare.com",
            "affiliation": "N",
            "address_1": "3010 Highland Pkwy Ste 250",
            "city": "Downers Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605155545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.nextgen.com/nge/prod/fhir-api/fhir/dstu2",
            "affiliation": "N",
            "address_1": "3010 Highland Pkwy",
            "address_2": "Suite 550",
            "city": "Downers Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

Verify at the official NPI Registry.