BRANDON BAUTISTA DO – NPI #1619727013
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

BRANDON BAUTISTA is a physician located in CHICAGO, IL. NPPES has assigned the NPI number 1619727013 to BRANDON BAUTISTA on March 26, 2024. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Jun 18, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRANDON BAUTISTA below.

NPI Profile for
BRANDON BAUTISTA

NPI Number
1619727013
Enumeration Date

(more than 2 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
BRANDON BAUTISTA
Credentials
DO
Primary location
4600 N RAVENSWOOD AVE
CHICAGO, IL 60640-4510
Phone: (773) 561-7500 Fax:
Mailing address
39W910 OLD BURLINGTON RD
SAINT CHARLES, IL 60175-8533
Phone: (630) 423-2006 Fax:
Sole Proprietor
No
Updated
Certification Date
Jun 18, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
IL 125.083873

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.