Allied Physicians and Rehab of Southern Illinois, S.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ALLIED PHYSICIANS AND REHAB OF SOUTHERN ILLINOIS, S.C.

Practice address

1100 W Main St
Carbondale, IL 62901-2335

Phone

(618) 529-5172

Fax

(618) 529-9152

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Brian E Bird, D.C.NPI 1629113295

Title

Owner/Doctor

Phone

(618) 529-5172

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Bird Chiropractic BC Former legal business name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Everett Bird, DC

  • Chiropractor
  • Carbondale, IL
  • NPI 1629113295
  Medicare reassignment NPD Authorized official
• Julie Ann Bird, DC

  • Chiropractor
  • Carbondale, IL
  • NPI 1447395074
  Medicare reassignment NPD
• Ryan August Gullett, D.C

  • Chiropractor
  • Marion, IL
  • NPI 1659439081
  NPD
• Michael Ambrose, MD

  • Internal Medicine Physician
  • Mount Vernon, IL
  • NPI 1538398680

  Chiropractor

  NPD (past)
• Jeffrey S Olkoski, PT

  • Physical Therapist
  • Christopher, IL
  • NPI 1437210200
  NPD (past)
• Cheryl Jeanne Uy Rushing, PT

  • Physical Therapist
  • Mount Vernon, IL
  • NPI 1043296023
  NPD (past)
• Lilli Ann Bernabe, PT

  • Specialist
  • Little Rock, AR
  • NPI 1912930132
  NPD (past)
• Dalton Trum Heath, D.C.

  • Chiropractor
  • Crystal River, FL
  • NPI 1427339993
  NPD (past)
• Cheri Dian Phillips, PHYSICAL THERAPIST

  • Physical Therapist
  • Sarasota, FL
  • NPI 1386747921
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450137600000",
    "number": "1457407413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W MAIN ST",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629012335",
            "telephone_number": "618-529-5172",
            "fax_number": "618-529-9152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W MAIN ST",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629012335",
            "telephone_number": "618-529-5172",
            "fax_number": "618-529-9152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED PHYSICIANS AND REHAB OF SOUTHERN ILLINOIS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2015-12-15",
        "status": "A",
        "authorized_official_last_name": "BIRD",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "618-529-5172",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "03923662",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE CORP #",
            "identifier": "042618237",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bird Chiropractic BC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Muhammad Armughan Ali, M.D.
• Align Healthcare LLC
• Align Healthcares LLC
• Nicole C Allen
• Tiffany D Allen, LCPC
• Ahmad Mohammad Mousa Alnasarat, M.D
• Valerie Alstat, PHARM. D.
• Kanisha Tamara Alston
• Sara Mohammad Hussein Altaamreh, MD
• Alternative Enterprises, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; 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.