JEFFREY W BRANTA (NPI# 1083933261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083933261 |
| Entity Type | Individual |
| Full Name | JEFFREY W BRANTA |
| Credential | D.O. |
| Practice Address |
100 W 162nd St South Holland IL 60473-2003 |
| Practice Telephone | 7087302200 |
| Practice Fax Number | 7082100648 |
| Mailing Telephone | 7087302200 |
| Mailing Fax Number | 7082100648 |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2016-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036134540 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
100 W 162ND ST |
| City | SOUTH HOLLAND |
| State | IL |
| Zip Code | 60473-2003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619904992 | Girma Assefa | Internal Medicine | 100 W 162nd St, South Holland, IL 60473-2003 | 2006-06-26 |
| 1972141497 | Colleen Trnka | Nurse Practitioner | 100 W 162nd St, South Holland, IL 60473-2003 | 2019-12-16 |
| 1669982427 | Marisol Munoz | Nurse Practitioner | 100 W 162nd St, South Holland, IL 60473-2003 | 2017-10-06 |
| 1346683075 | Natalia Alina Szaflarski | Internal Medicine | 100 W 162nd St, South Holland, IL 60473-2003 | 2013-04-11 |
| 1639393192 | Irene M Benson | Nurse Practitioner | 100 W 162nd St, South Holland, IL 60473-2003 | 2007-04-13 |
| 1851304901 | Keith Williams | Pediatrics | 100 W 162nd St, South Holland, IL 60473-2003 | 2006-08-13 |
| 1417968728 | Lolita Smith | Internal Medicine | 100 W 162nd St, South Holland, IL 60473-2003 | 2006-08-11 |
| 1285644591 | Cornelius Rogers | Internal Medicine | 100 W 162nd St, South Holland, IL 60473-2003 | 2006-08-09 |
| 1437165594 | Daniel Montalvo | Internal Medicine | 100 W 162nd St, South Holland, IL 60473-2003 | 2006-07-31 |
| 1285649012 | Lawrence Okafor | Internal Medicine | 100 W 162nd St, South Holland, IL 60473-2003 | 2006-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558826453 | Beverly Hadley, Dds P.C. | Dentist | 16282 Prince Drive, South Holland, IL 60473 | 2019-02-05 |
| 1053830828 | Caring Shepherds Health Care Inc | In Home Supportive Care | 15525 South Park Ave, Suite 103b, South Holland, IL 60473 | 2017-09-13 |
| 1972039469 | Dipeeka Patel | Nurse Practitioner | 430 E 162nd St # 487, South Holland, IL 60473 | 2017-05-03 |
| 1134576036 | A&j Transportation LLC | Non-emergency Medical Transport (VAN) | 16610 Langley Ave, South Holland, IL 60473 | 2016-05-20 |
| 1902204902 | Np Prn LLP | Clinic/Center | 16456 Dobson, South Holland, IL 60473 | 2014-12-08 |
| 1033415328 | Twfj Inc | Private Vehicle | 15059 Forestview, South Holland, IL 60473 | 2011-02-03 |
| 1871751396 | Arlene Gardner | Counselor | 16107 Lasalle Street, South Holland, IL 60473 | 2008-05-30 |
| 1952576233 | Harvey Family Center | Voluntary or Charitable | 16247 Wausau Ave., South Holland, IL 60473 | 2008-04-28 |
| 1548452725 | Chirospaaah | Chiropractor | 944 East 162nd St., South Holland, IL 60473 | 2007-08-13 |
| 1033313341 | Myra D Staples | Social Worker | 430 East 167th Street, South Holland, IL 60473 | 2007-06-12 |
| Find all providers in zip 60473 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801279344 | Eagle Healthy Living Inc | Family Medicine | 16057 School St, South Holland, IL 60473-1630 | 2015-07-01 |
| 1194842393 | Family Health Center Physicians, Let | Family Medicine | 17060 S Park Ave, South Holland, IL 60473-3349 | 2007-03-23 |
| 1255476206 | Moving Up Foundation, Inc. | Family Medicine | 520 W Armory Dr, South Holland, IL 60473-2824 | 2007-02-20 |
| 1871672014 | St Margaret Mercy Healthcare Centers, Inc. | Family Medicine | 901 E Sibley Blvd, South Holland, IL 60473-1166 | 2006-11-06 |
| 1558372615 | Jerry Lee Jensen | Family Medicine | 15525 S Park Ave, Suite 113, South Holland, IL 60473-1308 | 2006-08-11 |
| 1487623344 | Peter H. Neale Sc | Family Medicine | 16240 Louis Ave, South Holland, IL 60473-2274 | 2006-03-14 |
| 1558349514 | C. Matthew Chelich | Family Medicine | 16240 Prince Dr, South Holland, IL 60473-3233 | 2006-01-09 |
| 1851927446 | Wholebody Visiting Physicians | Family Medicine | 17 E Grandview Dr, South Holland, IL 60473-1099 | 2020-03-16 |
| 1467685503 | Matt Chelich Ltd | Family Medicine | 16240 Prince Dr, South Holland, IL 60473-3233 | 2009-08-24 |
| 1730114984 | Lakshmi Emory | Family Medicine | 100 W 162nd St, South Holland, IL 60473-2003 | 2006-07-12 |
| Find all providers in SOUTH HOLLAND | ||||
| City | SOUTH HOLLAND |
| Zip Code | 60473 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.