MR. WILLIAM BRUNDIDGE JR.
NPI 1932633500
Internal Medicine in Maywood, IL
About Mr. William Brundidge Jr. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. WILLIAM BRUNDIDGE JR. (NPI 1932633500) is an individual internal medicine provider in Maywood, Illinois, licensed in Illinois (125070650) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. William Brundidge Jr. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
8Medicare enrollment records show William Brundidge reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lafayette, IN 47904
- Reassigned Medicare billing, Indiana enrollment
- 671 clinicians in this Medicare group
Peoria, IL 61636
- Reassigned Medicare billing, Indiana enrollment
- 3 clinicians in this Medicare group
Urbana, IL 61801
- Reassigned Medicare billing, Indiana enrollment
- Medicare enrollment name: Carle Health Care Incorporated
- 6 clinicians in this Medicare group
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 5,212 clinicians in this Medicare group
Burnsville, MN 55337
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Hibbing, MN 55746
- Reassigned Medicare billing, Minnesota enrollment
- 707 clinicians in this Medicare group
Grand Rapids, MN 55744
- Reassigned Medicare billing, Minnesota enrollment
- 555 clinicians in this Medicare group
St Augustine, FL 32092
- Reassigned Medicare billing, Florida enrollment
- 354 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Indiana University Health
Acute Care Hospitals · Indianapolis, INIndiana University Health Arnett Hospital
Acute Care Hospitals · Lafayette, INIndiana University Health White Memorial Hospital
Critical Access Hospitals · Monticello, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60153 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
MAYWOOD, IL 60153
MAYWOOD, IL 60153
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 William Brundidge's NPI number?
The NPI number for William Brundidge is 1932633500. It was assigned to this individual provider in the NPPES registry on April 20, 2017.
Where is William Brundidge located?
William Brundidge practices at 2160 S 1st Ave Loyola University Medical Center, Maywood, IL 60153. The listed phone number is (708) 216-4943.
What is William Brundidge's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is William Brundidge enrolled in Medicare?
Yes. William Brundidge is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does William Brundidge accept?
Health plans from CareSource, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Medica and Molina Healthcare and 1 other insurer list William Brundidge as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is William Brundidge affiliated with any hospitals?
According to CMS data, William Brundidge is affiliated with Indiana University Health, Indiana University Health Arnett Hospital and Indiana University Health White Memorial Hospital.
When was this NPI record last updated?
The NPPES record for William Brundidge was last updated on August 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Mr. William Brundidge Jr. · NPI 1932633500
Internal Medicine physician in Maywood, Illinois. Individual provider, active in the CMS NPPES registry since April 20, 2017.
## Identity
- **NPI:** 1932633500 (Entity type: Individual)
- **Enumerated:** April 20, 2017
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 125070650 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2160 S 1ST AVE, LOYOLA UNIVERSITY MEDICAL CENTER, Maywood, IL 60153-3328
- **Phone:** (708) 216-4943
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** August 13, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1932633500) · Data from the CMS NPPES public registry.