Individual provider Active NPI

Brian Patrick Boyd, D.C.

  • Chiropractor
  • Willowbrook, IL
National Provider Identifier
1013069459
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038009578 Issued in IL
Practice address
16W501 Nielson LN
Willowbrook, IL 60527-6826
Phone
(630) 455-5885
Fax
(630) 455-5929
NPI assigned
Jan 17, 2007
Last updated
Aug 26, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038009578 IL Primary

Addresses

Primary practice location

16W501 Nielson LN
Willowbrook, IL 60527-6826

Mailing address

518 Hillgrove Ave Ste 275
Western Springs, IL 60558-1460
Phone (708) 588-8270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060320000751 IL Practitioner - Chiropractic 9234146036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Back in Balance Chiropractic and Acupuncture Center LTDGroup PAC ID 9739123845, 3 clinicians

Practice addresses (Care Compare)

518 Hillgrove Ave
Suite 275
Western Springs, IL 60558-1460
Phone (708) 588-8270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hollies Essential Wellness LLC CurrentSince Sep 24, 2023 Accepting new patients
Margaret E Brownlie DC PC Chiropractor Past Accepting new patients

Locations

16W501 Nielson Ln
Willowbrook, IL 60527
Phone (630) 455-5885

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440547200000",
    "number": "1013069459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 HILLGROVE AVE STE 275",
            "city": "WESTERN SPRINGS",
            "state": "IL",
            "postal_code": "605581460",
            "telephone_number": "708-588-8270",
            "fax_number": "708-588-8271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16W501 NIELSON LN",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605276826",
            "telephone_number": "630-455-5885",
            "fax_number": "630-455-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "BRIAN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2015-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willowbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.