Brant David Hulsebus, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-9816 Issued in IL

Practice address

1877 Daimler Rd
Rockford, IL 61112-1005

Phone

(815) 398-3434

Fax

(815) 398-3548

NPI assigned

Jul 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hulsebus Rockford ChiropracticGroup PAC ID 4486796232, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brant.hulsebus.1@17569.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hulsebus Rockford Chiropractic

  • Chiropractor
  • Rockford, IL
  • NPI 1104931427
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396762233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1877 DAIMLER RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611121005",
            "telephone_number": "815-398-3434",
            "fax_number": "815-398-3548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1877 DAIMLER RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611121005",
            "telephone_number": "815-398-3434",
            "fax_number": "815-398-3548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULSEBUS",
        "first_name": "BRANT",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-9816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38-9816",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Elizabeth Hughes
• David Paul Huhtelin, PHARMD, BCCCP, BCEMP
• Brandon Hull, D.M.D., M.S.
• Lois H Hull
• Hulsebus Rockford Chiropractic
• Michael John Hulsebus, D.C.
• Jodiann Hulstedt, MA, MFT
• Amy Hultman, LCSW
• Dawn Hunsberger, PHARM.D.
• Brenda Hunt

• Chiropractor in Rockford, IL
• Providers in Rockford, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.