Individual provider Active NPI

Brandon Korfel, DC

  • Chiropractor
  • Crystal Lake, IL
National Provider Identifier
1497192546
Registry record updated Feb 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
364617537 Issued in IL
Practice address
930 Pyott Rd
Suite 101
Crystal Lake, IL 60014-8720
Phone
(815) 893-0404
NPI assigned
May 30, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 364617537 IL Primary

Addresses

Primary practice location

930 Pyott Rd
Suite 101
Crystal Lake, IL 60014-8720

Mailing address

6186 Lakeview Park Dr
Linden, MI 48451-9098
Phone (810) 735-7416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
364617537ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Society LLC Chiropractor CurrentSince Jun 2, 2024 Accepting new patients
Prestige Medical Partners Chiropractor Current Accepting new patients
Cherne Care Clinic, SC Chiropractor PastSince Dec 18, 2012 Accepting new patients

Organizations & group practices 3

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": "1369872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392595200000",
    "number": "1497192546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6186 LAKEVIEW PARK DR",
            "city": "LINDEN",
            "state": "MI",
            "postal_code": "484519098",
            "telephone_number": "810-735-7416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 PYOTT RD",
            "address_2": "SUITE 101",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600148720",
            "telephone_number": "815-893-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORFEL",
        "first_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-30",
        "last_updated": "2014-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "364617537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.