Organization Active NPI

Brauer Family Chiropractic, Inc.

  • Clinic/Center
  • Rockford, IL
National Provider Identifier
1295982973
Registry record updated Aug 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
038010146 Issued in IL
Legal business name
BRAUER FAMILY CHIROPRACTIC, INC.
Practice address
7264 Argus Dr
Rockford, IL 61107-5837
Phone
(815) 229-8690
NPI assigned
Aug 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2008

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

Authorized official

Name
Dr. Katherine Brauer, D.C.NPI 1568636215
Title
Chiropractor
Phone
(815) 229-8690

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 038010146 IL Primary

Addresses

Primary practice location

7264 Argus Dr
Rockford, IL 61107-5837

Mailing address

7264 Argus Dr
Rockford, IL 61107-5837
Phone (815) 229-8690

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081007000867 IL Part B Supplier - Clinic/Group Practice 5991873655 Receives reassigned benefits from 1 practitioner
Practice locations: Cherry Valley, IL

National Provider Directory

National Provider Directory

Locations

1860 S Bell School Rd
Cherry Valley, IL 61016
Phone (815) 580-8270

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219622400000",
    "number": "1295982973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7264 ARGUS DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075837",
            "telephone_number": "815-229-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7264 ARGUS DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075837",
            "telephone_number": "815-229-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAUER FAMILY CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-25",
        "last_updated": "2008-08-25",
        "status": "A",
        "authorized_official_last_name": "BRAUER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "815-229-8690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "038010146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

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