Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brady Jay Coburn, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1811491202

Brady Jay Coburn, MD is a Plastic and Reconstructive Surgery in Maywood, Illinois. Graduated from Sanford School of Medicine of University of South Dakota in 2018, 8 years ago. Practices with Plastic Surgery Associates of South Dakota, Ltd, a 4-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
8
Trained at
Sanford School of Medicine of University of South Dakota
Licensed in
IL
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2160 S 1st Ave
Maywood, IL 60153
Phone: (708) 327-3041
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 125.072863 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (IL)

Record details

NPI number1811491202
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 20, 2018
Last updated in NPPESJune 6, 2018
Mailing address2160 S 1st Ave, Maywood, IL 60153-3328

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolSANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Graduated 2018 (8 years in practice)
Group practice Plastic Surgery Associates Of South Dakota, Ltd — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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