BRIAN MICHAEL BRAITHWAITE M.D. NPI 1518020072

NPI Information

  • NPI: 1518020072
  • Provider Name: BRIAN MICHAEL BRAITHWAITE, M.D.
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Individual
  • Address: 601 W RANDOLPH ST
    CHICAGO, IL
    ZIP 60661
  • Phone: (312) 258-9100

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NPI Details

Brian Michael Braithwaite, M.D. is a plastic and reconstructive surgery surgery in Chicago, IL. The provider is a surgeon who specializes in plastic and reconstructive surgery. Brian Michael Braithwaite, M.D. NPI is 1518020072. 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:

601 W RANDOLPH ST
CHICAGO, IL
ZIP 60661-232
Phone: (312) 258-9100
Fax: (312) 258-1219

The enumeration date for this NPI number is 12/18/2006 and was last updated on 3/19/2010.

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
12086S0122XSurgeryPlastic and Reconstructive Surgery036096170ILLINOISYes

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
12702050216061101MEDICAIDILLINOIS

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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