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

Mr. William Brundidge Jr.

Individual provider Pediatrics Physician · NPI 1932633500

Mr. William Brundidge Jr. is an Internal Medicine in Maywood, Illinois. Qualified in 2017, 9 years ago. Practices with Iu Health Medical Group, LLC, a 4,351-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
9
Licensed in
IL
In the registry since
2017
Specialties on file
3
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Practice location Address checks out

2160 S 1st Ave Loyola University Medical Ctr
Maywood, IL 60153-3328
Phone: (708) 216-4943
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 125070650 (IL)
Pediatrics Physician Taxonomy 208000000X · Licence 125070650 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (IL)

Record details

NPI number1932633500
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 20, 2017
Last updated in NPPESAugust 13, 2017

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Iu Health Medical Group, Llc — 4351 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Maywood