Brad Suprenant, DO
Brad Suprenant, DO is a Clinical Cardiac Electrophysiology Physician in Kankakee, IL, registered under NPI 1760467377.
Getting there
The practice address on file is 500 N WALL ST, Kankakee, IL 60901. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 036071427 | IL | Clinical Cardiac Electrophysiology… primary |
| 02001098A | IN | Clinical Cardiac Electrophysiology… |
Licences are recorded in 2 states: IL, IN. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Cardiac Electrophysiology
- PAC ID
- 1355254665
- Enrollment ID
- I20090714000624
Medicare enrolment is recorded as approved under the provider type Practitioner - Cardiac Electrophysiology. 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.
Licensed in 2 states
This provider holds licences in 2 states: Illinois and Indiana. The practice address on file is in Kankakee, IL, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- 036071427
- Specialty
- Clinical Cardiac Electrophysiology…
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Clinical Cardiac Electrophysiology covers
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. NUCC Health Care Provider Taxonomy, code 207RC0001X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207RC0001X | Clinical Cardiac Electrophysiology Physician Clinical Cardiac Electrophysiology | 036071427 | IL | primary |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician Clinical Cardiac Electrophysiology | 02001098A | IN |
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.
| NPI | 1760467377 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Dec 7, 2005 |
| Last updated | Mar 29, 2021 |
| Status | Active |
| Sole proprietor | No |
| Credential | DO |
| Practice address |
500 N WALL ST Kankakee, IL 60901 (844) 404-4787 Fax (815) 936-3243 |
| Other identifiers |
036071247
· Medicaid (IL) 060030169 · Other 000000095316 · Other (IN) |
Number check
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 | 7 | 6 | 0 | 4 | 6 | 7 | 3 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 3 | 0 | 8 | 6 | 5 | 3 | 5 |
Sum = 63 · next multiple of 10 = 70 · check digit = 7 · actual last digit = 7
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.