Organization Active NPI

Your Health Solutions, LLC

  • Chiropractor
  • Maryville, IL
National Provider Identifier
1336568021
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
YOUR HEALTH SOLUTIONS, LLC
Practice address
2136 Vadalabene Dr Ste B
Maryville, IL 62062-5828
Phone
(618) 205-3240
Fax
(618) 205-3598
NPI assigned
Apr 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Authorized official

Name
Dr. Bryan W Reid, D.CNPI 1457684219
Title
Director
Phone
(618) 205-3240

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2136 Vadalabene Dr Ste B
Maryville, IL 62062-5828

Mailing address

2136 Vadalabene Dr Ste B
Maryville, IL 62062-5828
Phone (618) 205-3240

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140508000854 IL Part B Supplier - Clinic/Group Practice 4688807191 Receives reassigned benefits from 1 practitioner
Practice locations: Maryville, IL

National Provider Directory

National Provider Directory

Locations

2805 N Center St
Maryville, IL 62062
Phone (618) 223-8323

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": "1397088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1336568021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2136 VADALABENE DR STE B",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620625828",
            "telephone_number": "618-205-3240",
            "fax_number": "618-205-3598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2136 VADALABENE DR STE B",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620625828",
            "telephone_number": "618-205-3240",
            "fax_number": "618-205-3598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR HEALTH SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-10",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "618-205-3240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.