Individual provider Active NPI

Brandon Brammeier, D.C.

  • Chiropractor
  • Okawville, IL
National Provider Identifier
1588087845
Registry record updated May 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012576 Issued in IL
Practice address
11503 State Route 177
Okawville, IL 62271-3647
Phone
(618) 218-6211
NPI assigned
Jan 22, 2014
Last updated
May 2, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 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 038012576 IL Primary

Addresses

Primary practice location

11503 State Route 177
Okawville, IL 62271-3647

Mailing address

11503 State Route
Okawville, IL 62271
Phone (618) 218-6211

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140609000695 IL Practitioner - Chiropractic 9335363506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11503 State Route 177
Okawville, IL 62271-1311
Phone (618) 218-6211

PO Box
Suite 295
Okawville, IL 62271-0295

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038012576ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Brammeier Chiropractic LLC Chiropractor CurrentSince Apr 24, 2014 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398988800000",
    "number": "1588087845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11503 STATE ROUTE",
            "city": "OKAWVILLE",
            "state": "IL",
            "postal_code": "62271",
            "telephone_number": "618-218-6211"
        },
        {
            "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": "622713647",
            "telephone_number": "618-218-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAMMEIER",
        "first_name": "BRANDON",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-22",
        "last_updated": "2014-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_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 2, 2014; 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.