Individual provider Active NPI

Brady Drew McDaniel, DC

  • Chiropractor
  • Naperville, IL
National Provider Identifier
1255623914
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.011876 Issued in IL
Practice address
519 West 87TH Street
Naperville, IL 60565
Phone
(619) 818-3263
Fax
(619) 818-3263
NPI assigned
May 12, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.011876 IL Primary

Addresses

Primary practice location

519 West 87TH Street
Naperville, IL 60565

Mailing address

519 W 87TH St
Naperville, IL 60565-3128
Phone (331) 215-4919

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210607003178 IL Practitioner - Chiropractic 8123428513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

519 W 87TH St
Naperville, IL 60565-3128
Phone (331) 215-4919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Recovery Chiropractic Inc Chiropractor CurrentSince Apr 27, 2021 Accepting new patients

Locations

519 W 87th St
Naperville, IL 60565
Phone (331) 215-4919

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.

NPI Registry JSON

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1255623914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 W 87TH ST",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605653128",
            "telephone_number": "331-215-4919",
            "fax_number": "331-215-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 WEST 87TH STREET",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "60565",
            "telephone_number": "619-818-3263",
            "fax_number": "619-818-3263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "BRADY",
        "middle_name": "DREW",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-12",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; 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.