Brian David Penwell, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Practice address

2 N Country Club Rd
Suite 3
Decatur, IL 62521-4161

Phone

(217) 423-1500

Fax

(217) 423-1504

NPI assigned

Feb 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 1993

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Midwest Healthcare Center SC

  • Chiropractor
  • Decatur, IL
  • NPI 1801910062
  Medicare reassignment Authorized official
• Penwell Chiropractic North PC

  • Chiropractor
  • Decatur, IL
  • NPI 1821297011
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1568436624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 SALEM SCHOOL RD",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625218853",
            "telephone_number": "217-864-9082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 N COUNTRY CLUB RD",
            "address_2": "SUITE 3",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625214161",
            "telephone_number": "217-423-1500",
            "fax_number": "217-423-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENWELL",
        "first_name": "BRIAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "5806100",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peace of Mind Behavioral Health
• Carma Louise Peckham, PT
• Diana Rae Pehlman-Wilkin, SLP
• Charles Edward Pennix III, M.D.
• Penwell Chiropractic North PC
• Nancy L Penwell, D.C.
• Amber Perkinson
• Laura Perry, L.M.T
• Personal Medical Supply, Inc.
• Leeann Petak, CRNA

• Chiropractor in Decatur, IL
• Providers in Decatur, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.