Individual provider Active NPI

Brody Sharp, DC

  • Chiropractor
  • Bannockburn, IL
National Provider Identifier
1386217768
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.013934 Issued in IL
Practice address
2101 Waukegan Rd Ste 100
Bannockburn, IL 60015-1836
Phone
(847) 236-0049
NPI assigned
Jul 22, 2021
Last updated
Jan 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH13592 FL
Chiropractor 111N00000X 038.013934 IL Primary

Addresses

Primary practice location

2101 Waukegan Rd Ste 100
Bannockburn, IL 60015-1836

Mailing address

10 S Dunton Ave Apt 307
Arlington Heights, IL 60005-1485

Other practice location 1

21309 NW 2nd Ave
Miami, FL 33169-2112
Phone (305) 654-9797

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230728002992 IL Practitioner - Chiropractic 2668833260 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Korwitts Chiropractic PCGroup PAC ID 2567415276, 2 clinicians
Nexgen Wellness and Sports MedicineGroup PAC ID 9032657135, 2 clinicians

Practice addresses (Care Compare)

2736 Maple Ave
Downers Grove, IL 60515-4201
Phone (630) 963-0080

3200 W Higgins Rd
Suite 101
Hoffman Estates, IL 60169-2174
Phone (224) 222-1799

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH13592FLMDChiropractor
038.013934ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bannockburn Chiropractic & Sports Injury Center PC Chiropractor CurrentSince May 29, 2023 Accepting new patients
Nexgen Wellness & Sports Medicine Chiropractor CurrentSince Nov 16, 2024 Accepting new patients
Korwitts Chiropractic PC Chiropractor CurrentSince Mar 11, 2025 Accepting new patients
County Line Chiropractic Center, Inc. Chiropractor PastSince Jul 1, 2021 Accepting new patients

Locations

2101 Waukegan Rd
Ste 100
Bannockburn, IL 60015
Phone (847) 236-1194

2736 Maple Ave
Downers Grove, IL 60515
Phone (630) 963-0080

3200 W Higgins Rd
Ste 101
Hoffman Estates, IL 60169
Phone (847) 352-5511

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1386217768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 S DUNTON AVE APT 307",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 WAUKEGAN RD STE 100",
            "city": "BANNOCKBURN",
            "state": "IL",
            "postal_code": "600151836",
            "telephone_number": "847-236-0049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21309 NW 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331692112",
            "country_code": "US",
            "telephone_number": "305-654-9797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARP",
        "first_name": "BRODY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-22",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13592",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bannockburn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.