Individual provider Active NPI

Gregory Reid Brighton, MSW

  • Social Worker
  • Champaign, IL
National Provider Identifier
1134829286
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150.108961 Issued in IL
Practice address
801 N Walnut St
Champaign, IL 61820-3055
Phone
(217) 398-8080
NPI assigned
Mar 7, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150.108961 IL Primary

Addresses

Primary practice location

801 N Walnut St
Champaign, IL 61820-3055

Mailing address

801 N Walnut St
Champaign, IL 61820-3055
Phone (217) 398-8080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150.108961ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rosecrance Inc Current Accepting new patients
Rosecrance Inc CurrentSince Dec 20, 2024 Accepting new patients
Rosecrance, Inc. CurrentSince Dec 20, 2024 Accepting new patients

Locations

801 N Walnut St
Champaign, IL 61820
Phone (217) 356-1558

1601 University Dr
Rockford, IL 61107
Phone (815) 387-2500

1021 N Mulford Rd
Rockford, IL 61107
Phone (815) 387-5600

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1134829286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N WALNUT ST",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203055",
            "telephone_number": "217-398-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N WALNUT ST",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203055",
            "telephone_number": "217-398-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGHTON",
        "first_name": "GREGORY",
        "middle_name": "REID",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.108961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

Verify at the official NPI Registry.