Brett Becker DPM Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016003984 Issued in IL

Legal business name

BRETT BECKER DPM INC

Practice address

1491 Merchant Drive
Algonquin, IL 60102

Phone

(847) 458-1620

Fax

(847) 458-1694

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Brett C Becker, DPM

Title

Vice President

Phone

(847) 458-1620

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337904000000",
    "number": "1104978303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1491 MERCHANT DRIVE",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "60102",
            "telephone_number": "847-458-1620",
            "fax_number": "847-458-1694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1491 MERCHANT DRIVE",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "60102",
            "telephone_number": "847-458-1620",
            "fax_number": "847-458-1694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRETT BECKER DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2012-05-25",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "847-458-1620",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016003984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "04532031",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016003984",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Armand Bracero, PTA
• Laurence Martin Bradley Jr., M.D.
• Hope Brainard, OTR/L
• Clifton Samuel Brereton, D.C.
• Margaret Davis Brereton, D.C.
• Nicholas W Brigham, PA-C
• Brighter Horizons Therapy PLLC
• Patricia L Briick, RPH
• Kelly K Brinkman, DPT
• Maria Brubaker, PTA

• Podiatrist in Algonquin, IL
• Providers in Algonquin, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; 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.