Individual provider Active NPI

F Ryan Bemis, DC

  • Chiropractor
  • Alton, IL
National Provider Identifier
1497702385
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038008413 Issued in IL
Practice address
230 Regional Dr
Alton, IL 62002-5942
Phone
(618) 433-9333
Fax
(618) 433-9663
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038008413 IL Primary

Addresses

Primary practice location

230 Regional Dr
Alton, IL 62002-5942

Mailing address

230 Regional Dr
Alton, IL 62002-5942
Phone (618) 433-9333

Other identifiers 8

IdentifierTypeStateIssuer
10529T1OtherMOBCBS ALLIANCE
038008413MedicaidIL
4400037OtherILUNITED HEALTH CARE
5161604OtherILAETNA HEALTHCARE
279245500OtherILFED. EMPLOYEE
114579OtherMOBCBS MISSOURI
111407OtherILHEALTHLINK
6082010OtherILBLUE CROSS BLUE SHEILD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070328000547 IL Practitioner - Chiropractic 3971607110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bemis Family Chiropractic LLCGroup PAC ID 5698927655, 2 clinicians

Practice addresses (Care Compare)

230 Regional Dr
Alton, IL 62002-5942
Phone (618) 433-9333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bemis Family Chiropractic LLC Chiropractor CurrentSince Sep 17, 2012 Accepting new patients
Dr. Frank C Bemis & Associates, Chiropractors, S.C. Chiropractor PastSince Feb 19, 2007 Accepting new patients
Bemis Tupman Chiropractic LLC Chiropractor PastSince Aug 18, 2019 Accepting new patients

Locations

230 Regional Dr
Alton, IL 62002
Phone (618) 433-9333

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1497702385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 REGIONAL DR",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025942",
            "telephone_number": "618-433-9333",
            "fax_number": "618-433-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 REGIONAL DR",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025942",
            "telephone_number": "618-433-9333",
            "fax_number": "618-433-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEMIS",
        "first_name": "F",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038008413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ALLIANCE",
            "identifier": "10529T1",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038008413",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "4400037",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTHCARE",
            "identifier": "5161604",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED. EMPLOYEE",
            "identifier": "279245500",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MISSOURI",
            "identifier": "114579",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "111407",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "6082010",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.