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HIGHLAND PARK ORAL MAXILLOFACIAL SURGERY
NPI 1861647588
Dentist - Oral and Maxillofacial Surgery in Highland Park, IL

Active since November 21, 2008
1770 FIRST ST., 350, HIGHLAND PARK, IL 60035(847) 433-1516(847) 433-1548 Get Directions Write a Review

NPPES record last updated: November 21, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Highland Park Oral Maxillofacial Surgery NPPES

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

HIGHLAND PARK ORAL MAXILLOFACIAL SURGERY (NPI 1861647588) is a healthcare organization registered as an oral and maxillofacial surgery in Highland Park, Illinois and active in the NPI registry since November 2008. The organization lists Nathan Alan Braverman, President/owner, as its authorized official.

NPPES Registry Identity

NPI1861647588
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameNATHAN BRAVERMAN DMD MD PC
Location Address1770 FIRST ST., 350Highland Park, IL 60035-3200
Mailing Address1770 1st St, Suite 350Highland Park, IL 60035-3200 · (847) 433-1516 · Fax (847) 433-1548
Phone(847) 433-1516
Fax(847) 433-1548
Organization SubpartNo
Authorized OfficialNathan Alan BravermanPresident/owner · (847) 433-1516
Enumeration DateNovember 21, 2008
✔ NPI 1861647588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in IL · 019023544
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1770 FIRST ST., Highland Park, IL 60035
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Other Names 1

Doing Business AsHighland Park Oral Maxillofacial Surgery

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Highland Park Oral Maxillofacial Surgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Highland Park Oral Maxillofacial Surgery, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nathan Braverman, D.M.D., M.D.
Maxillofacial Surgery
NPI 1205945425
1770 FIRST STREET SUITE 350
Highland Park, IL 60035
(847) 433-1516
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Nathan Braverman Dmd MD PC's NPI number?

The NPI number for Nathan Braverman Dmd MD PC is 1861647588. It was assigned to this organization in the NPPES registry on November 21, 2008. The provider is doing business as Highland Park Oral Maxillofacial Surgery.

Where is Nathan Braverman Dmd MD PC located?

Nathan Braverman Dmd MD PC is located at 1770 First St. 350, Highland Park, IL 60035. The listed phone number is (847) 433-1516.

What is Nathan Braverman Dmd MD PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Nathan Braverman Dmd MD PC enrolled in Medicare?

Yes. Nathan Braverman Dmd MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nathan Braverman Dmd MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Maxillofacial Surgery) reassigns their Medicare billing to Nathan Braverman Dmd MD PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nathan Braverman Dmd MD PC was last updated on November 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.