Active NPI
Gregory Reid Brighton, MSW
- Social Worker
- Champaign, IL
National Provider Identifier
1134829286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.108961
- 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
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 |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150.108961 | IL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rosecrance Inc | Current | Accepting new patients | |
| Rosecrance Inc | Current | Accepting new patients | |
| Rosecrance, Inc. | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rockford, IL
- NPI 1013289446
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Moline, IL
- NPI 1639892698
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rockford, IL
- NPI 1669752275
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.