Organization Active NPI

Brammeier Chiropractic LLC

  • Chiropractor
  • Okawville, IL
National Provider Identifier
1497167456
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012576 Issued in IL
Legal business name
BRAMMEIER CHIROPRACTIC LLC
Practice address
11503 State Route 177
Okawville, IL 62271-1311
Phone
(618) 218-6211
NPI assigned
May 27, 2014
Last updated
May 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2014

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

Authorized official

Name
Brandon BrammeierNPI 1588087845
Title
Manager/ Sole Member
Phone
(618) 218-6211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038012576 IL Primary

Addresses

Primary practice location

11503 State Route 177
Okawville, IL 62271-1311

Mailing address

11503 State Route 177
Okawville, IL 62271-1311

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140606001950 IL Part B Supplier - Clinic/Group Practice 2466676713 Receives reassigned benefits from 1 practitioner
Practice locations: Okawville, IL

National Provider Directory

National Provider Directory

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": "1401148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401148800000",
    "number": "1497167456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11503 STATE ROUTE 177",
            "city": "OKAWVILLE",
            "state": "IL",
            "postal_code": "622711311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11503 STATE ROUTE 177",
            "city": "OKAWVILLE",
            "state": "IL",
            "postal_code": "622711311",
            "telephone_number": "618-218-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAMMEIER CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-05-27",
        "status": "A",
        "authorized_official_last_name": "BRAMMEIER",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "MANAGER/ SOLE MEMBER",
        "authorized_official_telephone_number": "618-218-6211"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okawville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.