Active NPI
John W Galbreath, DC
- Chiropractor
- Alton, IL
National Provider Identifier
1215095690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Practice address
- 1417 Washington Ave
Alton, IL 62002-3964 - Phone
- (618) 465-2419
- Fax
- (618) 463-0759
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | IL | Primary |
Addresses
Primary practice location
1417 Washington Ave
Alton, IL 62002-3964
Mailing address
4803 Terrace LN
Godfrey, IL 62035-1116
Phone (618) 465-2419
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038003602 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wallace P Berkowitz MD LTD | Past | Accepting new patients |
Organizations & group practices 1
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.
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- St Louis, MO
- NPI 1952387516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215095690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4803 TERRACE LN",
"city": "GODFREY",
"state": "IL",
"postal_code": "620351116",
"telephone_number": "618-465-2419",
"fax_number": "618-463-0759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1417 WASHINGTON AVE",
"city": "ALTON",
"state": "IL",
"postal_code": "620023964",
"telephone_number": "618-465-2419",
"fax_number": "618-463-0759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALBREATH",
"first_name": "JOHN",
"middle_name": "W",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.