Robert J Hermann, D.C.

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

038005048 Issued in IL

Practice address

2415 E Washington St
Suite 'F'
Bloomington, IL 61704-4473

Phone

(309) 663-2423

Fax

(309) 662-0223

NPI assigned

Jun 5, 2006

Last updated

Jan 5, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Robert Hermann DC SC

  • Chiropractor
  • Bloomington, IL
  • NPI 1689762676
  Medicare reassignment NPD Authorized official
• Kabir Center for Health & Rehabilitation, LTD

  • Chiropractor
  • Bloomington, IL
  • NPI 1245416734
  NPD (past)

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1083653158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BENT TREE LN",
            "city": "TOWANDA",
            "state": "IL",
            "postal_code": "617767511",
            "telephone_number": "309-728-2621",
            "fax_number": "309-662-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 E WASHINGTON ST",
            "address_2": "SUITE 'F'",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617044473",
            "telephone_number": "309-663-2423",
            "fax_number": "309-662-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMANN",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "IL",
            "license": "038005048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "001213",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CATERPILLAR",
            "identifier": "9900H",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUESHIELD",
            "identifier": "0573 2056",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heritage Enterprises, Inc. (Heritage Enterprises, Inc. dba Green Tree Therapy)
• Heritage Manor - Bloomington, LLC (Heritage Health)
• Heritage Manor - Lasalle, LLC (Heritage Health)
• Heritage Manor Bloomington, LLC (Heritage Health - Bloomington)
• Christopher M Herman, MD
• Kiran Elizabeth Hermon
• Johnny J Hernandez, DDS
• Yulissa Hernandez
• Kylee Kinsella Hess
• Rachael Josephine Hewson, ATC

• Orthopedic Chiropractor in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Orthopedic Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.