Organization Active NPI

Dr. Bradley T. Friel, P.C.

  • Chiropractor
  • Highland Park, IL
National Provider Identifier
1306082698
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-008212 Issued in IL
Legal business name
DR. BRADLEY T. FRIEL, P.C.
Practice address
1964 Sheridan Rd Ste 1
Highland Park, IL 60035-2541
Phone
(847) 681-1920
Fax
(847) 681-1921
NPI assigned
Dec 17, 2008
Last updated
Dec 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2008

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

Authorized official

Name
Dr. Bradley Thomas Friel, D.C.NPI 1922151901
Title
Owner
Phone
(847) 681-1920

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
Chiropractor 111N00000X 038-008212 IL Primary

Addresses

Primary practice location

1964 Sheridan Rd Ste 1
Highland Park, IL 60035-2541

Mailing address

1964 Sheridan Rd Ste 1
Highland Park, IL 60035-2541
Phone (847) 681-1920

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081223000600 IL Part B Supplier - Clinic/Group Practice 3678635711 Receives reassigned benefits from 1 practitioner
Practice locations: Highland Park, IL

National Provider Directory

National Provider Directory

Locations

595 Elm Pl
Ste 218
Highland Park, IL 60035
Phone (847) 681-1920

Practitioners & affiliated clinicians

Practitioners 6

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": "1229472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1306082698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1964 SHERIDAN RD STE 1",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352541",
            "telephone_number": "847-681-1920",
            "fax_number": "847-681-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1964 SHERIDAN RD STE 1",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352541",
            "telephone_number": "847-681-1920",
            "fax_number": "847-681-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BRADLEY T. FRIEL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-17",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "FRIEL",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-681-1920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-008212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.