Dennis R Brightwell, MD, SC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036-103977 Issued in IL

Legal business name

DENNIS R BRIGHTWELL, MD, SC

Practice address

310 N Rose Farm Rd
Woodstock, IL 60098-9540

Phone

(815) 575-9310

NPI assigned

Jul 24, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Dennis R Brightwell, MD

Title

President

Phone

(815) 575-9310

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Antoinette Ducrest, MD

  • Psychiatry Physician
  • New Castle, DE
  • NPI 1174549927
  NPD (past)
• Peter John Hansen, PHD

  • Counseling Psychologist
  • Waukesha, WI
  • NPI 1619067600
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248393600000",
    "number": "1003046046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N ROSE FARM RD",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600989540",
            "telephone_number": "815-575-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N ROSE FARM RD",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600989540",
            "telephone_number": "815-575-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS R BRIGHTWELL, MD, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-24",
        "last_updated": "2009-07-24",
        "status": "A",
        "authorized_official_last_name": "BRIGHTWELL",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-575-9310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036-103977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merrit Marion Debartolo, MD
• Raquel Debartolo
• Ashley Sabbath Dehn, LPC
• Lauren Delisi, OD
• Cathleen Ann Demartinis, P.T.
• Dental Professionals of Illinois, P.C.
• Scott Detloff, PA-C
• Diamond Pediatric Therapy
• April Ann Diamond
• Laura Lynn Dickman, RN

• Psychiatry Physician in Woodstock, IL
• Providers in Woodstock, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.