Individual provider Active NPI

Brian A Schrock, PA

  • Physician Assistant
  • Chillicothe, IL
National Provider Identifier
1356732101
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085-005406 Issued in IL
Practice address
525 S Sweetbriar Dr
Chillicothe, IL 61523-2264
Phone
(309) 274-2102
NPI assigned
Feb 16, 2015
Last updated
Dec 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
085.005406OtherILSTATE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150407000474 IL Practitioner - Physician Assistant 0941528723 Reassigns benefits to 5 organizations

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
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians
Proctor Health SystemsGroup PAC ID 3476440173, 131 clinicians

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

LicenseStateTypeSpecialty
085-005406ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Proctor Health Systems CurrentSince Aug 15, 2024 Accepting new patients
Carle Health Medical Group CurrentSince Jan 1, 2026 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Sep 1, 2025 Accepting new patients
Proctor Health Systems CurrentSince Aug 15, 2024 Accepting new patients
Carle West Physician Group Inc CurrentSince May 2, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.