Active NPI
Regina B Bielkus MD
- Neurology Physician
- Rockford, IL
National Provider Identifier
1225135007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- REGINA B BIELKUS MD
- Practice address
- 5668 E State St
Suite 2700
Rockford, IL 61108-2490 - Phone
- (815) 226-1906
- NPI assigned
- Sep 20, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Regina Bielkus, MD
- Title
- Owner/Physician
- Phone
- (815) 226-1906
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | IL | Primary |
Addresses
Primary practice location
5668 E State St
Suite 2700
Rockford, IL 61108-2490
Mailing address
PO Box 967
Tinley Park, IL 60477-0967
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00010100633 | Other | IL | BC/BS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1225135007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 967",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604770967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5668 E STATE ST",
"address_2": "SUITE 2700",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611082490",
"telephone_number": "815-226-1906"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGINA B BIELKUS MD",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BIELKUS",
"authorized_official_first_name": "REGINA",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "815-226-1906",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "00010100633",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, IL
- Heather Ann Reese, APN
- Kristin R Reese, PA
- Susan Reeverts, COTA
- Dileep Kumar Reddy Regalla
- Emily Rose Regan, FNP-BC
- Regina B Bielkus MD LLC
- Regional Access & Mobilization Project, Inc. (Ramp)
- Regional Cardiology Consultants LTD
- Regional Cardiology Consultants LTD
- Regional Cardiology Consultants, LTD.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.