DR. BRUCE E CARLSON (NPI# 1386635449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386635449 |
Entity Type | Individual |
Full Name | DR. BRUCE E CARLSON |
Credential | MD |
Practice Address |
22n285 Pepper Rd 407 Lake Barrington IL 60010-5982 |
Mailing Address |
27750 W Highway 22 Ste 240 Barrington IL 60010-1924 |
Practice Telephone | 8473826633 |
Practice Fax Number | 8473826942 |
Mailing Telephone | 8473826633 |
Mailing Fax Number | 8473826942 |
Enumeration Date | 2005-10-28 |
Last Update Date | 2016-02-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | 036-060898 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 036060898 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831405851 | Bruce Carlson | Pharmacist | 598 E Highway 290, Dripping Springs, TX 78620-3931 | 2010-08-27 |
1427263599 | Bruce Wayne Carlson | Technician, Other | 5946 Nw 88th Ave, Tamarac, FL 33321-4268 | 2007-05-11 |
1508912288 | Bruce L Carlson | Counselor | 101 E Broadway Ave, Bismarck, ND 58501 | 2007-01-26 |
1669537106 | Bruce D Carlson | Family Medicine | 236 E Newport Ave, Hermiston, OR 97838-2449 | 2006-12-26 |
1891867024 | Bruce Alan Carlson | Dentist | 267 Main St, Lansing, IA 52151 | 2006-11-14 |
1578522108 | Bruce K Carlson | Dentist | 1875 Dempster St, Suite 495, Park Ridge, IL 60068-1186 | 2006-03-22 |
1700877396 | Bruce A Carlson | Family Medicine | 1501 Thompson St, Bloomer, WI 54724-1257 | 2005-11-02 |
Street Address |
22N285 PEPPER RD 407 |
City | LAKE BARRINGTON |
State | IL |
Zip Code | 60010-5982 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629077086 | Shahid Ilahi Md Sc | Internal Medicine | 22n285 Pepper Rd, Suite 303, Lake Barrington, IL 60010-5982 | 2005-07-19 |
1588852818 | Barrington Specialists In Adult Medicine | Specialist | 22n285 Pepper Rd, Suite 407, Lake Barrington, IL 60010-5982 | 2007-10-11 |
1629164256 | Derek C Archer | Radiology | 22n285 Pepper Rd, Suite #103, Lake Barrington, IL 60010-5982 | 2006-10-04 |
1063463925 | Amy L Richter | Physician Assistant | 22n285 Pepper Rd, Suite 407, Lake Barrington, IL 60010-5982 | 2006-05-15 |
1558332940 | Lake Barrington Womens Health Center PC | Specialist | 22n285 Pepper Rd, Suite 111, Lake Barrington, IL 60010-5982 | 2006-02-01 |
1144206012 | Thomas J Meyer | Obstetrics & Gynecology | 22n285 Pepper Rd, Suite #111, Lake Barrington, IL 60010-5982 | 2005-12-21 |
1033195383 | David J Crandall | Obstetrics & Gynecology | 22n285 Pepper Rd, Suite #111, Lake Barrington, IL 60010-5982 | 2005-12-19 |
1508867078 | Shahid B. Ilahi | Internal Medicine | 22n285 Pepper Rd, Suite 303, Lake Barrington, IL 60010-5982 | 2005-08-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972125425 | Cvs Aoc Services, L.L.C. | Optometrist | 101 South Northwest Highway, Store 7181, Barrington, IL 60010 | 2020-05-07 |
1497241707 | Sharon Kay Fu | Counselor | 1000 Hart Rd., Suite 201, Barrington, IL 60010 | 2018-07-10 |
1760977219 | Robert Scott Wertke | Student in an Organized Health Care Education/Training Program | 3147, 101 Lions Dr. #100, Barrington, IL 60010 | 2018-06-27 |
1548788169 | Integrated Care Inc. | Chiropractor | 22285 N. Pepper Rd. Suite 407, Lake Barrington, IL 60010 | 2017-09-04 |
1487174249 | Lucy Buhr | Physician Assistant | 1531 S Grove Ave Suite 101, Barrington, IL 60010 | 2017-06-22 |
1386180198 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 1531 S Grove Avenue, Suite 101, Barrington, IL 60010 | 2017-01-18 |
1649625872 | Hong Luo | Acupuncturist | 1525 S. Grove Ave, Suite 102, Barrington, IL 60010 | 2016-04-25 |
1508239724 | Taylor Sheahen | Counselor | 21925 W. Field Parkway, Suite 215, Deer Park, IL 60010 | 2015-11-10 |
1952780413 | Robert W. Davis | Massage Therapist | 110 S. Wynstone Park Drive Suite 105, N. Barrington, IL 60010 | 2015-05-29 |
1982082863 | Marilu Garza | Massage Therapist | 110 S. Wynstone Park Drive, Suite 105, N. Barrington, IL 60010 | 2015-05-12 |
Find all providers in zip 60010 |
Taxonomy Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
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. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417241944 | Nicole M Gentile | Internal Medicine | 22285 N Pepper Rd Ste 311, Lake Barrington, IL 60010-2541 | 2011-06-01 |
1629077086 | Shahid Ilahi Md Sc | Internal Medicine | 22n285 Pepper Rd, Suite 303, Lake Barrington, IL 60010-5982 | 2005-07-19 |
1982036182 | Andrea T Dellaria | Internal Medicine | 22285 Pepper Rd., Suite 401, Lake Barrington, IL 60010-2542 | 2013-07-30 |
1104055169 | Mark N. Rubin | Internal Medicine | 22285 N. Pepper Road, Suite 401, Lake Barrington, IL 60010-2538 | 2009-07-10 |
1306074364 | Jordan Samuels | Internal Medicine | 22285 N. Pepper Road, Lake Barrington, IL 60010-2538 | 2009-06-30 |
1881649697 | George William Christy | Internal Medicine | 22285 N Pepper Rd, Lake Barrington, IL 60010-2538 | 2006-05-23 |
1508867078 | Shahid B. Ilahi | Internal Medicine | 22n285 Pepper Rd, Suite 303, Lake Barrington, IL 60010-5982 | 2005-08-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962002832 | Coleman Clinic, Inc. | Internal Medicine | 1893 Daimler Rd Ste A, Rockford, IL 61112-1081 | 2020-10-29 |
1922606193 | Thatiana Carolina Schulze Goni | Internal Medicine | 5924 N Lincoln Ave Apt 205, Chicago, IL 60659-3736 | 2020-10-11 |
1447866579 | Jashan Gill | Internal Medicine | 3707 Doty Rd Ste Eandf, Woodstock, IL 60098-7530 | 2020-09-23 |
1649884636 | Maria Detolve Donoghue | Internal Medicine | 905 Eldorado St, Winnetka, IL 60093-1951 | 2020-09-07 |
1750995742 | Eva Bartaula | Internal Medicine | 1500 S Fairfield Ave # 3, Chicago, IL 60608-1782 | 2020-09-07 |
1750994513 | Ranjit Babu Jasaraj | Internal Medicine | 1500 S Fairfield Ave # F-914, Chicago, IL 60608-1782 | 2020-08-30 |
1871106005 | Vijay Ketan Reddy | Internal Medicine | 1500 S Fairfield Ave Dept Roomf914, Chicago, IL 60608-1782 | 2020-08-27 |
1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
1417566084 | Avani Sushilkumar Mohta | Internal Medicine | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2020-07-29 |
1659989937 | Consultant Physicians | Internal Medicine | 580 Bankview Dr, Frankfort, IL 60423-1382 | 2020-07-22 |
Find all providers with the same taxonomy |
City | LAKE BARRINGTON |
Zip Code | 60010 |
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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.