Active NPI
Debra Anne Brodd, D.C,
- Chiropractor
- Wilmette, IL
National Provider Identifier
1508288440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038-004-586
- Practice address
- 522 Poplar
Wilmette, IL 60091 - Phone
- (847) 251-0044
- NPI assigned
- Jan 13, 2014
- Last updated
- Jan 17, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038-004-586 | IL | Primary |
Addresses
Primary practice location
522 Poplar
Wilmette, IL 60091
Mailing address
522 Poplar
Wilmette, IL 60091
Phone (847) 251-0044
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
| License | State | Type | Specialty |
|---|---|---|---|
| 038-004-586 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Holistic Healthcare, S.C. | Chiropractor | Past | Accepting new patients |
| Halcyon Health Chiropractic, S.C. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- NPI 1962738906
-
- Chiropractor
- Wilmette, IL
- NPI 1407207129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389916800000",
"number": "1508288440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 POPLAR",
"city": "WILMETTE",
"state": "IL",
"postal_code": "60091",
"telephone_number": "847-251-0044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 POPLAR",
"city": "WILMETTE",
"state": "IL",
"postal_code": "60091",
"telephone_number": "847-251-0044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRODD",
"first_name": "DEBRA",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "D.C,",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-13",
"last_updated": "2014-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038-004-586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmette, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.