Brad Suprenant, DO
NPI 1760467377 · Clinical Cardiac Electrophysiology Physician · Kankakee, IL
Enrolled with Medicare as Practitioner - Cardiac Electrophysiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Brad Suprenant, DO is a Clinical Cardiac Electrophysiology Physician provider in Kankakee, IL (NPI 1760467377).
Provider details
- NPI number
- 1760467377
- Entity type
- Individual
- Primary specialty
- Clinical Cardiac Electrophysiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 02001098A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 375 N Wall St Ste P420Kankakee, IL 60901Phone: (815) 939-9400Fax: (815) 939-9494
- 1490 E Walnut St Ste aWatseka, IL 60970-1806Phone: (815) 432-7693Fax: (815) 936-7228
Registry dates
- Enumerated
- 2005-12-07
- Last updated
- 2021-03-29
- Certified
- 2021-03-29
Frequently asked questions
- What is Brad Suprenant's NPI number?
- Brad Suprenant's National Provider Identifier (NPI) is 1760467377, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Brad Suprenant's specialty?
- Brad Suprenant is listed in the NPPES registry with a primary specialty of Clinical Cardiac Electrophysiology Physician (Allopathic & Osteopathic Physicians).
- Where is Brad Suprenant located?
- Brad Suprenant's practice location on file with NPPES is 500 N Wall St, Kankakee, IL 60901-2942.
- What is Brad Suprenant's phone number?
- The practice phone number listed in the NPPES registry for Brad Suprenant is (844) 404-4787.
- Does Brad Suprenant accept Medicare?
- Brad Suprenant is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Brad Suprenant's NPI active?
- Yes — Brad Suprenant's NPI (1760467377) is active in the NPPES registry as of the last update on 2021-03-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.