DR. SCOTT EDWARD BRAUNLICH (M.D.) – Internal Medicine Physician, NPI 1487638904

DR. SCOTT EDWARD BRAUNLICH (M.D.) is a healthcare provider. based in Lake forest, Illinois. specializing in Internal Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 036070461 (IL). The NPI Number for DR. SCOTT EDWARD BRAUNLICH (M.D.) is 1487638904

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. SCOTT EDWARD BRAUNLICH (M.D.)
NPI
1487638904
Phone
(847) 234-8866
Address
800 N WESTMORELAND RD
Enumeration Date
30 November 2005
Last Update Date
13 October 2020

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1983 (43 years ago)
PAC ID
8527117746
Group Practice PAC ID
2163334699
Professional Enrollment ID
I20100329000556

Contacts

Secure Messaging
sbraunlich10515@direct.northshore.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for DR. SCOTT EDWARD BRAUNLICH (M.D.)

  • McGaw Medical Building, 800, North Westmoreland Road, Lake Forest, Lake County, Illinois, 60045, United States

    SUITE 100

    LAKE FOREST, IL 600451673

    Phone: (847) 234-8866

    Fax: (847) 234-4682

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-03-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100329000556IInternal MedicineILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60045)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163334699View full group profile
NameSpecialtyState
-IL
E N D O C R I N O L O G YIL
N E U R O L O G YIL
Hospitalist, Internal MedicineIL
O P H T H A L M O L O G YIL
-IL
E N D O C R I N O L O G YIL
Cardiovascular Disease (Cardiology), Interventional CardiologyIL
Clinical Social WorkerIL
Certified Nurse Midwife (Cnm)IL

Reviews

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Frequently asked questions

What number should I use to identify DR. SCOTT EDWARD BRAUNLICH (M.D.) for billing?
Administrative and clinical systems typically use NPI 1487638904 for DR. SCOTT EDWARD BRAUNLICH (M.D.).
Should I treat DR. SCOTT EDWARD BRAUNLICH (M.D.) as an active provider?
Patients and plans typically see DR. SCOTT EDWARD BRAUNLICH (M.D.) as active in the national extract.
What type of care does DR. SCOTT EDWARD BRAUNLICH (M.D.) provide?
DR. SCOTT EDWARD BRAUNLICH (M.D.)'s profile centers on Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. SCOTT EDWARD BRAUNLICH (M.D.) tied to Lake Forest, Illinois?
If you are local to Lake Forest, Illinois, DR. SCOTT EDWARD BRAUNLICH (M.D.) may be relevant to your search.
Why is information missing for DR. SCOTT EDWARD BRAUNLICH (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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