Organization Active NPI

Murphy Spine & Sports Inc.

  • Clinic/Center
  • Channahon, IL
National Provider Identifier
1235393810
Registry record updated Dec 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
038010739 Issued in IL
Legal business name
MURPHY SPINE & SPORTS INC.
Practice address
25158 W Eames St
Unit G
Channahon, IL 60410-5404
Phone
(815) 467-4466
Fax
(815) 467-4464
NPI assigned
Jul 14, 2008
Last updated
Dec 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2008

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

Authorized official

Name
Dr. Bryan Michael Murphy, D.C.NPI 1649294471
Title
Owner
Phone
(815) 483-3223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 038010739 IL Primary

Addresses

Primary practice location

25158 W Eames St
Unit G
Channahon, IL 60410-5404

Mailing address

25158 W Eames St
Unit G
Channahon, IL 60410-5404
Phone (815) 483-3223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081223000415 IL Part B Supplier - Clinic/Group Practice 7113089343 Receives reassigned benefits from 1 practitioner
Practice locations: Channahon, IL

National Provider Directory

National Provider Directory

Locations

25158 W Eames St
Unit G
Channahon, IL 60410
Phone (815) 467-4466

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228953600000",
    "number": "1235393810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25158 W EAMES ST",
            "address_2": "UNIT G",
            "city": "CHANNAHON",
            "state": "IL",
            "postal_code": "604105404",
            "telephone_number": "815-483-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25158 W EAMES ST",
            "address_2": "UNIT G",
            "city": "CHANNAHON",
            "state": "IL",
            "postal_code": "604105404",
            "telephone_number": "815-467-4466",
            "fax_number": "815-467-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MURPHY SPINE & SPORTS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-14",
        "last_updated": "2008-12-11",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-483-3223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "038010739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Channahon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.