Brian A Schrock, PA
Individual provider Active NPI Physician Assistant · Chillicothe, IL
NPI 1356732101 · NPPES record last updated Dec 5, 2024
Key facts
- NPI
- 1356732101
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 085-005406 (IL)
- Practice address
- 525 S Sweetbriar Dr
Chillicothe, IL 61523-2264 - Phone
- (309) 274-2102
- NPI assigned
- Feb 16, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Saint Louis University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Methodist Medical Center of Illinois
Carle Health Care Incorporated
Proctor Health Systems
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
- Carle Home Care
- Carle Health Methodist Hospital
- Carle Health Proctor Hospital
- Saint Francis Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150407000474 | IL | Practitioner - Physician Assistant | 0941528723 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- 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 | |
| Proctor Health Systems | Current |
Accepting new patients | |
| Carle West Physician Group Inc | Current |
Accepting new patients | |
| Methodist Medical Center of Illinois | Current |
Accepting new patients | |
| Carle Health Care Incorporated | Current |
Accepting new patients | |
| Methodist Medical Center of Illinois | Current |
Accepting new patients | |
| Carle Health Care Incorporated | Past | Accepting new patients |
Locations
2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461
1111 Trinity Ln
Ste 111
Bloomington, IL 61704
Phone (309) 663-6461
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) 680-2402
815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986
120 NE Glen Oak Ave
Peoria, IL 61603
Phone (309) 672-3158
6831 N Peartree Ln
Peoria, IL 61615
Phone (309) 691-1250
5401 N Knoxville Ave
Ste 400
Peoria, IL 61614
Phone (309) 691-6610
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Interoperability endpoints
- bschrockpa323039@carlehiedirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085-005406 | IL | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 085.005406 | Other | IL | STATE OF IL LICENSE NUMBER |
Other providers in Chillicothe, IL
- Lori A Richard
- Robert Ryan Riech
- Carlos Juan Roa
- Daniel C Routh
- Bradley Rummel
- Smalltown Dental Chillicothe LLC
- Sean B Smith
- Hallie Sperry
- Maureen J Sylvester
- T. J. Freund DDS, P.C.
All providers in Chillicothe, IL · Physician Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.