Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. BRANDON DANIEL TUCKER DO
NPI 1386330488
Pediatrics - Neonatal-Perinatal Medicine in Chicago, IL

Q: What is Brandon Tucker's NPI number?

The NPI number for Brandon Tucker is 1386330488. It was assigned to this individual provider in the NPPES registry on April 12, 2023.

Q: What is Brandon Tucker's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Brandon Tucker was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 12, 2023PECOS Enrolled

5841 S MARYLAND AVE # MC1052, CHICAGO, IL 60637(773) 702-6760 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Brandon Daniel Tucker Do NPPES

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

DR. BRANDON DANIEL TUCKER DO (NPI 1386330488) is an individual neonatal-perinatal medicine provider in Chicago, Illinois, licensed in Illinois (036.180758) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386330488

Entity TypeIndividualMale

Primary Taxonomy2080N0001X

Provider Legal NameDR. BRANDON DANIEL TUCKERCredential: DO

Location Address5841 S MARYLAND AVE # MC1052Chicago, IL 60637-1443

Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686 · (773) 702-1150

Phone(773) 702-6760

Sole ProprietorNo

Enumeration DateApril 12, 2023

Last NPPES UpdateJune 30, 2026

NPPES CertifiedJune 30, 2026

✔ NPI 1386330488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in IL · 036.180758

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

5841 S MARYLAND AVE # MC1052, Chicago, IL 60637

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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)

Dr. Brandon Daniel Tucker Do 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.

DR. DERRIUS J. ANDERSON MD

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