Active NPI
Benjamin Miles, D.C.
- Chiropractor
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038-011932
- Practice address
- 4300 N Brandywine Dr
Peoria, IL 61614-5550 - Phone
- (309) 338-3301
- Fax
- (309) 332-7770
- NPI assigned
- Jun 7, 2011
- Last updated
- Nov 10, 2025
- Sex
- Male
- 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 | 038-011932 | IL | Primary |
Addresses
Primary practice location
4300 N Brandywine Dr
Peoria, IL 61614-5550
Mailing address
118 N Broadway St
Lewistown, IL 61542-1202
Phone (309) 338-3301
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038-011932 | Other | IL | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4300 N Brandywine Dr
Peoria, IL 61614-5550
Phone (309) 338-3301
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-011932 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuromed Healthcare PLLC | Current | Accepting new patients | |
| Realhealth Advanced Care SC | Current | Accepting new patients | |
| Hulsebus and Gehlsen Chiropractic | Chiropractor | Past | Accepting new patients |
| Pecatonica Chiropractic Center | Chiropractor | Past | Accepting new patients |
Locations
328 W Washington St
East Peoria, IL 61611
Phone (309) 682-9000
4300 N Brandywine Dr
Peoria, IL 61614
Phone (309) 338-3301
Organizations & group practices 4
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.
-
- Rehabilitation Chiropractor
- Peoria, IL
- NPI 1154292662
-
- Physical Medicine & Rehabilitation Physician
- East Peoria, IL
- NPI 1710371935
-
- Chiropractor
- Freeport, IL
- NPI 1043433162
-
- Chiropractor
- Pecatonica, IL
- NPI 1538295266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762732800000",
"number": "1609160654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 N BROADWAY ST",
"city": "LEWISTOWN",
"state": "IL",
"postal_code": "615421202",
"telephone_number": "309-338-3301",
"fax_number": "309-332-7770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 N BRANDYWINE DR",
"city": "PEORIA",
"state": "IL",
"postal_code": "616145550",
"telephone_number": "309-338-3301",
"fax_number": "309-332-7770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILES",
"first_name": "BENJAMIN",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-07",
"last_updated": "2025-11-10",
"certification_date": "2025-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038-011932",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "038-011932",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; 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.