Active NPI
Brian Dennis Berkey, D.C.
- Rehabilitation Chiropractor
- Yorkville, IL
National Provider Identifier
1487733812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 038-009770
- Practice address
- 207 Hillcrest Ave Ste a
Yorkville, IL 60560-1393 - Phone
- (630) 553-2111
- Fax
- (630) 553-0022
- NPI assigned
- Nov 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 038-009770 | IL | Primary |
Addresses
Primary practice location
207 Hillcrest Ave Ste a
Yorkville, IL 60560-1393
Mailing address
207 Hillcrest Ave Ste a
Yorkville, IL 60560-1393
Phone (630) 553-2111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-009770 | IL | MD | Rehabilitation Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Physical Medicine of Yorkville, LTD | Current | Accepting new patients |
Locations
207 Hillcrest Ave
Ste A
Yorkville, IL 60560
Phone (630) 553-2111
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Yorkville, IL
- NPI 1942415609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380585600000",
"number": "1487733812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 HILLCREST AVE STE A",
"city": "YORKVILLE",
"state": "IL",
"postal_code": "605601393",
"telephone_number": "630-553-2111",
"fax_number": "630-553-0022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 HILLCREST AVE STE A",
"city": "YORKVILLE",
"state": "IL",
"postal_code": "605601393",
"telephone_number": "630-553-2111",
"fax_number": "630-553-0022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERKEY",
"first_name": "BRIAN",
"middle_name": "DENNIS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-05",
"last_updated": "2013-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "IL",
"license": "038-009770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yorkville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; 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.