Organization Active NPI

Charles C Gerleman D C P C

Doing business as Gerleman Chiropractic & Acupuncture

  • Chiropractor
  • Rushville, IL
National Provider Identifier
1396964524
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
060009113 Issued in IL
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Authorized official

Name
Dr. Mark A Gerleman, DCNPI 1316909815
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
08530076OtherILBLUE CROSS BLUE SHIELD OF ILLINOIS

Other names 1

  • Gerleman Chiropractic & Acupuncture Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 P4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.