Dr David Bradley Kozlov, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Belvidere, Illinois. His current practice location is
1322 Tuneberg Pkwy, Belvidere, Illinois. You can reach out to his office (for appointments etc.) via phone at
(847) 445-4262.
Dr David Bradley Kozlov is licensed to practice in Illinois (license number 036-100483) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1528087913.
Physician's Profile
Full Name | Dr David Bradley Kozlov |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 1322 Tuneberg Pkwy, Belvidere, Illinois |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr David Bradley Kozlov attended and graduated from in
NPI Data:
- NPI Number: 1528087913
- Provider Enumeration Date: 07/18/2006
- Last Update Date: 11/18/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr David Bradley Kozlov such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528087913 | NPI | - | NPPES |
212545 | Other | IL | GROUP PTAN |
202926 | Other | IL | GROUP PTAN |
036100483 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0204X | Radiology - Vascular & Interventional Radiology | 31814 (Iowa) | Secondary |
2085R0204X | Radiology - Vascular & Interventional Radiology | 43507-020 (Wisconsin) | Secondary |
2085R0204X | Radiology - Vascular & Interventional Radiology | 036-100483 (Illinois) | Primary |
2085R0204X | Radiology - Vascular & Interventional Radiology | ME105953 (Florida) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr David Bradley Kozlov is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr David Bradley Kozlov, MD 1322 Tuneberg Pkwy, Belvidere, IL 61008-7902 Ph: (847) 445-4262 | Dr David Bradley Kozlov, MD 1322 Tuneberg Pkwy, Belvidere, IL 61008-7902 Ph: (847) 445-4262 |
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