Active NPI
Brad Campbell, D.C.
- Chiropractor
- Wilmette, IL
National Provider Identifier
1043666076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038012966
- Practice address
- 522 Poplar Dr
Wilmette, IL 60091-2717 - Phone
- (847) 251-0044
- Fax
- (847) 251-0066
- NPI assigned
- May 9, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038012966 | IL | Primary |
Addresses
Primary practice location
522 Poplar Dr
Wilmette, IL 60091-2717
Mailing address
522 Poplar Dr
Wilmette, IL 60091-2717
Phone (847) 251-0044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160624001325 | IL | Practitioner - Chiropractic | 5395034987 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Holistic Healthcare, S.C. | Chiropractor | Current | Accepting new patients |
| Halcyon Health Chiropractic, S.C. | Chiropractor | Past | Accepting new patients |
Locations
522 Poplar Dr
Wilmette, IL 60091
Phone (847) 251-0044
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Wilmette, IL
- NPI 1407207129
-
- Chiropractor
- Elmhurst, IL
- NPI 1962738906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462752000000",
"number": "1043666076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 POPLAR DR",
"city": "WILMETTE",
"state": "IL",
"postal_code": "600912717",
"telephone_number": "847-251-0044",
"fax_number": "847-251-0066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 POPLAR DR",
"city": "WILMETTE",
"state": "IL",
"postal_code": "600912717",
"telephone_number": "847-251-0044",
"fax_number": "847-251-0066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "BRAD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-09",
"last_updated": "2016-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038012966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmette, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.