BRYAN J PHILLIPS M.D. NPI 1114923497

NPI Information

  • NPI: 1114923497
  • Provider Name: BRYAN J PHILLIPS, M.D.
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 718 S WEBER ROAD
    BOLINGBROOK, IL
    ZIP 60490
  • Phone: (630) 378-4799

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NPI Details

Bryan J Phillips, M.D. is an ophthalmology in Bolingbrook, IL with 32 years of experience. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. Bryan J Phillips, M.D. NPI is 1114923497. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

718 S WEBER ROAD
BOLINGBROOK, IL
ZIP 60490
Phone: (630) 378-4799
Fax: (630) 378-4783

The NPI 1114923497 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Exam of the internal drainage system of eye (HCPCS:92020)
  • Extended exam of the back part of the eye with retinal drawing (HCPCS:92201)
  • Photography of the retina (HCPCS:92250)
  • Closure of tear duct opening using plug (HCPCS:68761)
  • Exam of visual field with extended testing (HCPCS:92083)
  • Imaging of optic nerve (HCPCS:92133)
  • Imaging of retina (HCPCS:92134)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Ultrasound scan of cornea to determine thickness (HCPCS:76514)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Ultrasound scan to determine eye length and lens power (HCPCS:76519)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Laser repair to improve eye fluid flow (HCPCS:65855)
  • Creation of shunt to improve eye fluid flow using tissue graft (HCPCS:66180)
  • Destruction of lens tissue using laser (HCPCS:66710)
  • Creation of eye fluid drainage tract for treatment of glaucoma (HCPCS:66170)
  • Cataract surgery (HCPCS:NAN11)

The enumeration date for this NPI number is 6/22/2005 and was last updated on 7/26/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmology036098037ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G89436MEDICARE UPINILLINOIS
2036098037MEDICAIDILLINOIS
33970320001OTHERILLINOISDMERC
4211428MEDICARE PINILLINOIS
5K46495OTHERILLINOISMEDICARE PROVIDER NUMBER
6180039547OTHERILLINOISRAILROAD MEDICARE
70031600193OTHERILLINOISBLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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