Individual provider Active NPI

Brian Dennis Berkey, D.C.

  • Rehabilitation Chiropractor
  • Yorkville, IL
National Provider Identifier
1487733812
Registry record updated Oct 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
038-009770 Issued in IL
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

Updated by the provider on Oct 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20080221000016 IL Practitioner - Chiropractic 6305739509 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-009770ILMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Physical Medicine of Yorkville, LTD CurrentSince Oct 24, 2002 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.

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.

Verify at the official NPI Registry.