Dr David Bradley Kozlov, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Belvidere, Illinois. He went to Loyola University Of Chicago, Stritch School Of Medicine and graduated in 1992 and has 33 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Radiology Consultants Of Rockford Ltd and 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 | Diagnostic Radiology |
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Experience | 33 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 Loyola University Of Chicago, Stritch School Of Medicine in 1992
NPI Data:
- NPI Number: 1528087913
- Provider Enumeration Date: 07/18/2006
- Last Update Date: 11/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 0648213892
- Enrollment ID: I20050608000426
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 |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Radiology Consultants Of Rockford Ltd | 3274596572 | 16 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr David Bradley Kozlov allows following entities to bill medicare on his behalf.
Entity Name | Radiology Consultants Of Rockford Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013985647 PECOS PAC ID: 3274596572 Enrollment ID: O20041108000916 |
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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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