Individual provider Active NPI

Brianna Erdmier, D.C.

  • Chiropractor
  • Rockford, IL
National Provider Identifier
1376078964
Registry record updated Apr 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.013099 Issued in IL
Practice address
811 S Perryville Rd Unit 117
Rockford, IL 61108-4323
Phone
(779) 423-2044
NPI assigned
Apr 21, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.013099 IL Primary

Addresses

Primary practice location

811 S Perryville Rd Unit 117
Rockford, IL 61108-4323

Mailing address

811 S Perryville Rd Unit 117
Rockford, IL 61108-4323
Phone (779) 423-2044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.013099ILMDChiropractor

Interoperability endpoints

  • Direct secure messaging: brianna.erdmier.1@17569.direct.athenahealth.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492732800000",
    "number": "1376078964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 S PERRYVILLE RD UNIT 117",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611084323",
            "telephone_number": "779-423-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 S PERRYVILLE RD UNIT 117",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611084323",
            "telephone_number": "779-423-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERDMIER",
        "first_name": "BRIANNA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-21",
        "last_updated": "2017-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.