Bradley Mattson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Practice address

977 Lakeview Pkwy
Vernon Hills, IL 60061-1400

Phone

(847) 932-1079

Fax

(847) 932-1082

NPI assigned

Aug 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Hawthorn Medical S C

  • Rehabilitation Chiropractor
  • Vernon Hills, IL
  • NPI 1215166392
  Authorized official Same address or phone
• Hawthorne Physical Medicine

  • Preferred Provider Organization
  • Vernon Hills, IL
  • NPI 1336175801
  NPD (past) Authorized official
• Christine Biser D.C., S.C.

  dba Northbrook Chiropractic

  • Chiropractor
  • Northbrook, IL
  • NPI 1336258375
  NPD (past)
• Des Plaines Radiologists SC

  • Diagnostic Radiology Physician
  • Des Plaines, IL
  • NPI 1316056021
  NPD (past)
• Gurnee Physical Medicine LTD

  • Specialist
  • Gurnee, IL
  • NPI 1467677948
  NPD (past)
• North Shore Physical Medicine

  • Chiropractor
  • Niles, IL
  • NPI 1588743405
  NPD (past)
• Quality Physical Therapy PC

  • Physical Therapist
  • Deerfield, IL
  • NPI 1225070469
  NPD (past)
• Stratford Physical Medicine LTD

  • Physical Therapist
  • Bloomingdale, IL
  • NPI 1073549424
  NPD (past)
• Woodfield Physical Medicine

  • Family Medicine Physician
  • Schaumburg, IL
  • NPI 1922034164
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437260783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "977 LAKEVIEW PKWY",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611400",
            "telephone_number": "847-932-1079",
            "fax_number": "847-932-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "977 LAKEVIEW PKWY",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611400",
            "telephone_number": "847-932-1079",
            "fax_number": "847-932-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTSON",
        "first_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC",
            "identifier": "38006727",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hope Marwede, MA
• Deeba Masood, M.D.
• Elias Masri, MD
• Michelle Mata
• Adriana Matos Stiles, APN-CNM
• Estela Cruz Mauricio
• Valerie L Mayer, RN
• Ziemowit Mazur, PA-C
• Leslie C McClellan, MD
• Patience A McConico

• Chiropractor in Vernon Hills, IL
• Providers in Vernon Hills, 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; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.