Individual provider

Bradford Roberg, M.D.

Plastic and Reconstructive Surgery Physician Deactivated record

Bradford Roberg, M.D. is a Plastic and Reconstructive Surgery Physician in Crystal Lake, IL, registered under NPI 1316946072. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

This NPI is deactivated. The provider has retired, changed registration, or the number was retired by CMS. Details below are kept for reference — do not rely on them to arrange care.

Getting there

The practice address on file is 5714 S STATE ROUTE 31, Crystal Lake, IL 60014. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

5714 S STATE ROUTE 31, Crystal Lake, IL 60014 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Plastic And Reconstructive Surgery
PAC ID
9436052578
Enrollment ID
I20040723000650

Medicare enrolment is recorded as approved under the provider type Practitioner - Plastic And Reconstructive Surgery. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Plastic and Reconstructive Surgery covers

A surgeon who specializes in plastic and reconstructive surgery. NUCC Health Care Provider Taxonomy, code 2086S0122X
Allopathic & Osteopathic Physicians Surgery Plastic and Reconstructive Surgery

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1316946072 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJul 15, 2005
Last updatedJul 8, 2007
StatusDeactivated
Sole proprietorYes
CredentialM.D.
Practice address 5714 S STATE ROUTE 31
Crystal Lake, IL 60014
(815) 356-7000
Fax (815) 356-7513
Mailing address 8135 N MILWAUKEE AVE
Niles, IL 60714
Other identifiers 00732007 · Other (IL)
This record was last updated on Jul 8, 2007, roughly 19 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1316946072 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 3 1 6 9 4 6 0 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 3 2 6 9 4 3 0 5

Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1316946072?
NPI 1316946072 is the National Provider Identifier assigned to Bradford Roberg, M.D. in Crystal Lake, IL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Plastic and Reconstructive Surgery cover?
A surgeon who specializes in plastic and reconstructive surgery.
How do I contact Bradford Roberg, M.D.?
The phone number on file with NPPES is (815) 356-7000, last updated Jul 8, 2007. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Bradford Roberg, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1316946072 a valid number?
Yes. 1316946072 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.