Active NPI
Brian A Schrock, PA
- Physician Assistant
- Chillicothe, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085-005406
- Practice address
- 525 S Sweetbriar Dr
Chillicothe, IL 61523-2264 - Phone
- (309) 274-2102
- NPI assigned
- Feb 16, 2015
- Last updated
- Dec 5, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085-005406 | IL | Primary |
Addresses
Primary practice location
525 S Sweetbriar Dr
Chillicothe, IL 61523-2264
Mailing address
525 S Sweetbriar Dr
Chillicothe, IL 61523-2264
Phone (309) 274-2102
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 085.005406 | Other | IL | STATE OF IL LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Saint Louis University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1112 5TH St
Lacon, IL 61540-1353
Phone (309) 246-2676
1112 E 5TH St
MMG Lacon
Lacon, IL 61540-1353
Phone (309) 246-2676
525 S Sweetbriar Dr
MMG Chillicothe
Chillicothe, IL 61523-2229
Phone (309) 274-2102
525 Sweetbriar Dr
MMG Chillicothe
Chillicothe, IL 61523-2229
Phone (309) 274-2102
528 Edward St
Henry, IL 61537-1218
Phone (779) 323-8150
5401 N Knoxville Ave
Peoria, IL 61614-5021
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085-005406 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proctor Health Systems | Current | Accepting new patients | |
| Carle Health Medical Group | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Proctor Health Systems | Current | Accepting new patients | |
| Carle West Physician Group Inc | Current | Accepting new patients | |
| Carle Health Care Incorporated | Past | Accepting new patients |
Locations
1111 Trinity Ln
Ste 111
Bloomington, IL 61704
Phone (309) 663-6461
2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461
525 S Sweetbriar Dr
Chillicothe, IL 61523
Phone (309) 274-2102
525 S Sweetbriar Dr
Ste C
Chillicothe, IL 61523
Phone (309) 274-6314
1909 N Morton Ave
Morton, IL 61550
Phone (309) 263-9124
1437 E College Ave
Normal, IL 61761
Phone (309) 454-4411
112 NE Crescent Ave
Peoria, IL 61606
Phone (309) 671-7779
120 NE Glen Oak Ave
Peoria, IL 61603
Phone (309) 672-3158
5401 N Knoxville Ave
Ste 400
Peoria, IL 61614
Phone (309) 691-6610
6831 N Peartree Ln
Peoria, IL 61615
Phone (309) 691-1250
815 Main St
Ste A
Peoria, IL 61602
Phone (309) 671-3000
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Interoperability endpoints
- bschrockpa323039@carlehiedirect.net
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Carle Physician Group
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
dba Methodist Medical Group
- Family Medicine Physician
- Peoria, IL
- NPI 1184670663
-
- Family Medicine Physician
- Peoria, IL
- NPI 1134173917
-
- Family Medicine Physician
- Normal, IL
- NPI 1467074138
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1982656575
-
dba Carle Health Princeville
- Rural Health Clinic/Center
- Princeville, IL
- NPI 1356057301
-
- Durable Medical Equipment & Medical Supplies
- Champaign, IL
- NPI 1114240876
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
-
dba Proctor Hospital
- General Acute Care Hospital
- Peoria, IL
- NPI 1033116876
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1134826894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733356800000",
"number": "1356732101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 S SWEETBRIAR DR",
"city": "CHILLICOTHE",
"state": "IL",
"postal_code": "615232264",
"telephone_number": "309-274-2102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 S SWEETBRIAR DR",
"city": "CHILLICOTHE",
"state": "IL",
"postal_code": "615232264",
"telephone_number": "309-274-2102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHROCK",
"first_name": "BRIAN",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-16",
"last_updated": "2024-12-05",
"certification_date": "2024-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085-005406",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF IL LICENSE NUMBER",
"identifier": "085.005406",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chillicothe, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.