Kurt Jeffrey Brotherson, MD

Internal Medicine in Lake Forest, IL. Individual provider (NPI-1).

NPI number1306907779

StatusActive

Last updated in NPPESNov 1, 2011

Details

NPI: 1306907779
Entity type: Individual (NPI-1)
Name: Mr. Kurt Jeffrey Brotherson
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: Dec 12, 2006
Last updated: Nov 1, 2011

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - FAMILY PRACTICE
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207R00000X	Internal Medicine	C42117	CA	Yes

Practice location

700 N Westmoreland Rd
Bldg B
Lake Forest, IL 60045-1679

Phone 847-482-0136 · Fax 847-482-0302

Mailing address

700 N Westmoreland Rd
Bldg B
Lake Forest, IL 60045-1679

Phone 847-482-0136 · Fax 847-482-0302

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Internal Medicine Physician providers in Lake Forest, IL

All 34 Internal Medicine Physician providers in Lake Forest · All 978 providers in Lake Forest

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