BRADEN HAROLD DANBURY
NPI 1023647948
Hospitalist in Waukegan, IL
NPI Status: Active since April 02, 2020
- Individual
- Male
- Hospitalist
- Accepts Insurance
- PECOS Enrolled
About BRADEN DANBURY
This page provides the complete NPI Profile along with additional information for Braden Danbury, a provider established in Waukegan, Illinois with a medical specialization in Hospitalist. The healthcare provider is registered in the NPI registry with number 1023647948 assigned on April 2020. The practitioner's primary taxonomy code is 208M00000X with license number 036169129 (IL). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1023647948
- Provider Name
- BRADEN HAROLD DANBURY
- Other Name
- BRADEN HAROLD DAVIS
- Other Name Type
- Former Name (1)
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2323 GRAND AVE WAUKEGAN, IL 60085
- Location Phone
- (847) 666-3494
- Mailing Address
- 2323 GRAND AVE WAUKEGAN, IL 60085
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-02-2020
- Last Update Date
- 04-24-2024
- Code Navigator
Location Map
Secondary Locations
- 5323 Harry Hines Blvd
Dallas, TX 75390
(214) 648-2986
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Hospitalist
- Taxonomy Code
- 208M00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036169129
- License State
- IL
- Taxonomy Description
- Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 036169129 (IL) |
| 2 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Braden Danbury is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 60085 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $137.43
- Minimum New Patient Price $59.81
- Maximum New Patient Price $181.38
- Average New Patient Copayment $34.35
- Minimum New Patient Copayment $14.95
- Maximum New Patient Copayment $45.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $105.07
- Minimum Established Patient Price $19.15
- Maximum Established Patient Price $147.12
- Average Established Patient Copayment $26.26
- Minimum Established Patient Copayment $4.78
- Maximum Established Patient Copayment $36.78
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 2 | 3 | 6 | 4 | 7 | 9 | 4 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 4 | 3 | 12 | 4 | 14 | 9 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 4 + 3 + 1 + 2 + 4 + 1 + 4 + 9 + 8 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1023647948 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 15 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1336295195 | DR. ADNYBEL ROSARIO-ORTIZ M.D. Individual | Pediatrics | 2323 GRAND AVE WAUKEGAN, IL 60085 (847) 666-3494 |
| 1972967727 | MARITZA SOLIS MSW, LCSW Individual | Social Worker (Clinical) | 2323 GRAND AVE WAUKEGAN, IL 60085 (847) 666-3494 |
| 1851936058 | LABORATORY CORPORATION OF AMERICA Organization | Clinical Medical Laboratory | 2323 GRAND AVE WAUKEGAN, IL 60085 (224) 656-6342 |
| 1659371276 | SARA EILEEN TRANCHINA M.D. Individual | Family Medicine | 2323 GRAND AVE WAUKEGAN, IL 60085 (476) 668-3494 |
| 1952837148 | GENA GROSPE D.O. Individual | Family Medicine | 2323 GRAND AVE WAUKEGAN, IL 60085 (847) 666-3494 |
| 1033645023 | DR. JACK ARMSTRONG YORK D.O Individual | Family Medicine | 2323 GRAND AVE WAUKEGAN, IL 60085 (847) 666-3494 |
| 1508138751 | QINGJU ZENG APRN Individual | Family Medicine | 2323 GRAND AVE WAUKEGAN, IL 60085 (847) 666-3494 |
| 1558904185 | JASMIN ROESER LCSW Individual | Social Worker (Clinical) | 2323 GRAND AVE WAUKEGAN, IL 60085 (847) 666-3494 |
| 1497027262 | MARISOL GLOVER Individual | Nurse Practitioner (Psychiatric/Mental Health) | 2323 GRAND AVE WAUKEGAN, IL 60085 (312) 432-2606 |
| 1619551405 | NICOLE VARGAS CNM Individual | Advanced Practice Midwife | 2323 GRAND AVE WAUKEGAN, IL 60085 (847) 666-3494 |
| 1073247458 | JULIEL OCAMPO RAVAGO RN Individual | Nurse Practitioner (Family) | 2323 GRAND AVE WAUKEGAN, IL 60085 (847) 666-3494 |
| 1801416938 | KATHERINE HOU ZHU Individual | Hospitalist | 2323 GRAND AVE WAUKEGAN, IL 60085 (847) 666-3494 |
| 1871168187 | NATASHA LEE THERN MD Individual | Family Medicine | 2323 GRAND AVE WAUKEGAN, IL 60085 (847) 666-3494 |
| 1568200251 | JONATHAN DAVID WONG DNP, APRN, FNP-C Individual | Nurse Practitioner (Family) | 2323 GRAND AVE WAUKEGAN, IL 60085 (847) 666-3494 |
| 1447072301 | DENISE GALAVIZ RDH,PHDH Individual | Dental Hygienist | 2323 GRAND AVE WAUKEGAN, IL 60085 (847) 666-3494 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023647948, enumerated in the NPI registry as an "individual" on April 02, 2020
The provider is located at 2323 Grand Ave Waukegan, Il 60085 and the phone number is (847) 666-3494
The provider's speciality is Hospitalist with taxonomy code 208M00000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $137.43 with an average copayment of $34.35 for new patient appointments. Established patients should expect a typical charge of $105.07 and an average copayment of 26.26. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on April 02, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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