NPI Details
DR. Brent M Nathan, MD is an internal medicine in Bannockburn, IL with 11 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Brent M Nathan, MD NPI is 1639559719. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduation Year:2015
The provider's business location address is:
2101 WAUKEGAN RD STE 104
BANNOCKBURN, IL
ZIP 60015-836
Phone: (847) 317-1717
Fax: (847) 317-9305
The NPI 1639559719 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, 20-29 minutes (HCPCS:99213)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- Influenza vaccine split virus, preservative free (HCPCS:90662)
- Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- Routine electrocardiogram (ecg) using at least 12 leads with tracing (HCPCS:93005)
- Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
- Administration of influenza virus vaccine (HCPCS:G0008)
- Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
- Coronavirus vaccine 13 (HCPCS:91312)
- Fee covid-19 vac 13 res (HCPCS:0124A)
- Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted, for intramuscular use (HCPCS:91300)
- Pneumococcal vaccine, 13-valent (HCPCS:90670)
- Pneumococcal vaccine, 23-valent (HCPCS:90732)
- Administration of pneumococcal vaccine (HCPCS:G0009)
- Sarscov2 vac 50mcg/0.25ml im (HCPCS:91306)
- Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
The enumeration date for this NPI number is 6/4/2015 and was last updated on 8/17/2021.
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 |
| 1 | 207R00000X | Internal Medicine | | 036144667 | ILLINOIS | Yes |
| 2 | 207R00000X | Internal Medicine | | 125067282 | ILLINOIS | No |
