BRENDA B JURICH (MD) – Diagnostic Radiology Physician, NPI 1376512327
Preparing for Medicare enrollment?
Use our CMS-855 prep checklist: which form applies (855I, 855O, or 855A), readiness score, NPPES field map, and Section 12 documents. Reassignment uses CMS-855I Section 4F—not the discontinued CMS-855R form.
Open Medicare 855 Prep tool →Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for BRENDA B JURICH (MD)
Saint Francis Way, Lafayette, Tippecanoe County, Indiana, 47905, United States
SUITE 215
LAFAYETTE, IN 479054923
Phone: (765) 446-4819
Fax: (765) 446-4859
Type: Mailing
Franciscan Health Lafayette East, 1701, South Creasy Lane, Lafayette, Tippecanoe County, Indiana, 47905, United States
LAFAYETTE, IN 479054972
Phone: (765) 446-4819
Fax: (765) 446-4859
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $37.
Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Boston Scientific Corporation ($37).
Total Amount
$37
General + Research + Ownership
Payments
2
Total payment records
General Amount
$37
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $37 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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 47905)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | IN | |
| Diagnostic Radiology | NY | |
| Diagnostic Radiology | CO | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | IN | |
| - | WI | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | IN | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | HI |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.