Active NPI
Charles C Gerleman D C P C
Doing business as Gerleman Chiropractic & Acupuncture
- Chiropractor
- Rushville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 060009113
- Legal business name
- CHARLES C GERLEMAN D C P C
- Doing business as
- Gerleman Chiropractic & Acupuncture
- Practice address
- 119 Rodewald Dr
Rushville, IL 62681-9783 - Phone
- (217) 322-2370
- Fax
- (217) 322-2874
- NPI assigned
- Apr 25, 2007
- Last updated
- Sep 20, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark A Gerleman, DC
- Title
- Clinic Director
- Phone
- (217) 322-2370
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 060009113 | IL | Primary |
Addresses
Primary practice location
119 Rodewald Dr
Rushville, IL 62681-9783
Mailing address
119 Rodewald Dr
Rushville, IL 62681-9783
Phone (217) 322-2370
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08530076 | Other | IL | BLUE CROSS BLUE SHIELD OF ILLINOIS |
Other names 1
- Gerleman Chiropractic & Acupuncture
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080430000200 | IL | Part B Supplier - Clinic/Group Practice | 1153407440 |
Receives reassigned benefits from 6 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Galesburg, IL; Kewanee, IL; Milan, IL; Rushville, IL |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Charles C Gerleman DC P
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Chiropractor
- Kewanee, IL
- NPI 1396964292
-
- Chiropractor
- Milan, IL
- NPI 1457578122
-
- Chiropractor
- Galesburg, IL
- NPI 1609096262
Locations
320 Tenney St
Kewanee, IL 61443
Phone (309) 787-4944
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Rushville, IL
- NPI 1316909815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726790400000",
"number": "1396964524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 RODEWALD DR",
"city": "RUSHVILLE",
"state": "IL",
"postal_code": "626819783",
"telephone_number": "217-322-2370",
"fax_number": "217-322-2874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 RODEWALD DR",
"city": "RUSHVILLE",
"state": "IL",
"postal_code": "626819783",
"telephone_number": "217-322-2370",
"fax_number": "217-322-2874"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLES C GERLEMAN D C P C",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-25",
"last_updated": "2024-09-20",
"certification_date": "2024-09-20",
"status": "A",
"authorized_official_last_name": "GERLEMAN",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CLINIC DIRECTOR",
"authorized_official_telephone_number": "217-322-2370",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "060009113",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF ILLINOIS",
"identifier": "08530076",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Gerleman Chiropractic & Acupuncture",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rushville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.