Individual provider Active NPI

Robert Brandon Rice, B.S., D.C.

  • Chiropractor
  • Shiloh, IL
National Provider Identifier
1174620975
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38010787 Issued in IL
Practice address
1207 Thouvenot LN
Suite 100
Shiloh, IL 62269-8915
Phone
(618) 234-8300
Fax
(866) 370-4183
NPI assigned
Sep 20, 2006
Last updated
Apr 10, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38010787 IL Primary

Addresses

Primary practice location

1207 Thouvenot LN
Suite 100
Shiloh, IL 62269-8915

Mailing address

1207 Thouvenot LN Ste 100
Shiloh, IL 62269-8917
Phone (618) 234-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20061229000035 IL Practitioner - Chiropractic 0840290623 Reassigns benefits to 4 organizations
I20200414000227 MO Practitioner - Chiropractic 0840290623 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiropro of Highland, LLCGroup PAC ID 7012259625, 3 clinicians
Chiropro of Eureka, LLCGroup PAC ID 8820490543, 2 clinicians

Practice addresses (Care Compare)

208 Flax Dr
Suite 200
Highland, IL 62249-1394
Phone (618) 651-6310

409 Meramec Blvd
Eureka, MO 63025-3906
Phone (636) 429-2024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
38010787ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Shiloh Chiropractic, LLC Chiropractor CurrentSince Jul 11, 2006 Accepting new patients
Chiropro of St Charles Mo, LLC Chiropractor CurrentSince Jan 26, 2021 Accepting new patients
Chiropro of Glened LLC Dba Chiropro of Troy Chiropractor CurrentSince Mar 1, 2018 Accepting new patients
Chiropro of Highland, LLC Chiropractor CurrentSince Mar 15, 2019 Accepting new patients
Chiropro of Eureka, LLC Chiropractor CurrentSince Sep 17, 2020 Accepting new patients
Back on Track Eureka, LLC Chiropractor PastSince May 11, 2025 Accepting new patients

Locations

208 Flax Dr
Highland, IL 62249
Phone (618) 651-6310

1207 Thouvenot Ln
Ste 100
Shiloh, IL 62269
Phone (618) 234-8300

1231 Thouvenot Ln
Ste 100
Shiloh, IL 62269
Phone (618) 234-8300

220 E US Highway 40
Troy, IL 62294
Phone (618) 667-1200

409 Meramec Blvd
Eureka, MO 63025
Phone (636) 429-2024

3711 Mexico Rd
Ste B
Saint Charles, MO 63303
Phone (636) 410-5858

3711 Mexico Rd
Unit B
Saint Charles, MO 63303

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334016000000",
    "number": "1174620975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 THOUVENOT LN STE 100",
            "city": "SHILOH",
            "state": "IL",
            "postal_code": "622698917",
            "telephone_number": "618-234-8300",
            "fax_number": "618-234-8295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 THOUVENOT LN",
            "address_2": "SUITE 100",
            "city": "SHILOH",
            "state": "IL",
            "postal_code": "622698915",
            "telephone_number": "618-234-8300",
            "fax_number": "866-370-4183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICE",
        "first_name": "ROBERT",
        "middle_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "B.S., D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "38010787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shiloh, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.