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MR. BRIAN B MINARDI PA-C
NPI 1104259126
Physician Assistant - Medical in Bellwood, IL

Active since August 13, 2013PECOS Enrolled
2615 HARRISON ST, BELLWOOD, IL 60104(708) 493-0299(708) 493-0594 Get Directions Write a Review

NPPES record last updated: August 13, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Brian B Minardi Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. BRIAN B MINARDI PA-C (NPI 1104259126) is an individual medical provider in Bellwood, Illinois, licensed in Illinois (085.004739) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104259126
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. BRIAN B MINARDICredential: PA-C
Location Address2615 HARRISON STBellwood, IL 60104-2450
Mailing Address2615 Harrison StBellwood, IL 60104-2450 · (708) 493-0299 · Fax (708) 493-0594
Phone(708) 493-0299
Fax(708) 493-0594
Sole ProprietorNo
Enumeration DateAugust 13, 2013
✔ NPI 1104259126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in IL · 085.004739
2615 HARRISON ST, Bellwood, IL 60104
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Brian B Minardi Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIE GROBBELAAR FERNANDES OT
Specialist
2615 HARRISON ST
BELLWOOD, IL 60104
Cook County (708) 493-0199
EMILY E BENEDICT COTA
Occupational Therapy Assistant
2615 HARRISON ST
BELLWOOD, IL 60104
Cook County (708) 493-0199
JOE MATTINGLY ATC
Specialist/Technologist (Athletic Trainer)
2615 HARRISON ST
BELLWOOD, IL 60104
Cook County (708) 493-0299
AMERICAN CURRENT CARE OF ILLINOIS PC
Clinic/Center (Urgent Care)
2615 HARRISON ST
BELLWOOD, IL 60104
Cook County (708) 493-0299
JOSEPH J. VITEZ
Radiologic Technologist (Nuclear Medicine Technology)
2615 HARRISON ST
BELLWOOD, IL 60104
Cook County (708) 493-0199
EMELYN B AGONCILLO PT
Physical Therapist
2615 HARRISON ST
BELLWOOD, IL 60104
Cook County (708) 493-0399
ATHLETIC IMAGING INC
Clinic/Center (Magnetic Resonance Imaging (MRI))
2615 HARRISON ST
BELLWOOD, IL 60104
Cook County (708) 493-0299
ADVANCED OCCUPATIONAL MEDICINE SPECIALISTS
Internal Medicine (Sports Medicine)
2615 HARRISON ST
BELLWOOD, IL 60104
Cook County (708) 493-0299

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Minardi's NPI number?

The NPI number for Brian Minardi is 1104259126. It was assigned to this individual provider in the NPPES registry on August 13, 2013.

Where is Brian Minardi located?

Brian Minardi practices at 2615 Harrison St, Bellwood, IL 60104. The listed phone number is (708) 493-0299.

What is Brian Minardi's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Brian Minardi enrolled in Medicare?

Yes. Brian Minardi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brian Minardi was last updated on August 13, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.