Individual provider Active NPI

Brian Reid Vear, DC

  • Chiropractor
  • Huntley, IL
National Provider Identifier
1104470137
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038013396 Issued in IL
Practice address
12519 Regency Pkwy Unit E
Huntley, IL 60142-6514
Phone
(847) 515-2655
Fax
(772) 252-3360
NPI assigned
Jul 29, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038013396 IL Primary

Addresses

Primary practice location

12519 Regency Pkwy Unit E
Huntley, IL 60142-6514

Mailing address

12519 Regency Pkwy Ste E
Huntley, IL 60142-6514
Phone (847) 515-2655

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191226000883 IL Practitioner - Chiropractic 7719311828 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Health Medical LTD CurrentSince Dec 2, 2022 Accepting new patients
Binger Chiropractic Clinic, Inc. Chiropractor CurrentSince Mar 1, 2023 Accepting new patients

Locations

1147 S Wabash Ave
Chicago, IL 60605
Phone (312) 360-1604

1147 S Wabash Ave
Ste 250B
Chicago, IL 60605
Phone (312) 987-4878

12519 Regency Pkwy
Ste E
Huntley, IL 60142
Phone (847) 515-2800

12519 Regency Pkwy
Unit E
Huntley, IL 60142
Phone (847) 515-2655

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.

NPI Registry JSON

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1104470137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12519 REGENCY PKWY STE E",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601426514",
            "telephone_number": "847-515-2655",
            "fax_number": "772-252-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12519 REGENCY PKWY UNIT E",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601426514",
            "telephone_number": "847-515-2655",
            "fax_number": "772-252-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEAR",
        "first_name": "BRIAN",
        "middle_name": "REID",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-29",
        "last_updated": "2023-08-31",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038013396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntley, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.

Verify at the official NPI Registry.