Individual provider Active NPI

Bradley J Setchell, DC

  • Chiropractor
  • Sterling, IL
National Provider Identifier
1619149572
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011042 Issued in IL
Practice address
2522 E Lincolnway Ste G
Sterling, IL 61081-3058
Phone
(815) 866-5029
Fax
(815) 626-6796
NPI assigned
Mar 31, 2008
Last updated
Jul 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038011042 IL Primary

Addresses

Primary practice location

2522 E Lincolnway Ste G
Sterling, IL 61081-3058

Mailing address

2522 E Lincolnway Ste G
Sterling, IL 61081-3058
Phone (815) 866-5029

Other identifiers 2

IdentifierTypeStateIssuer
038-01104201MedicaidIL
09821954OtherILBCBS-IL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080422000575 IL Practitioner - Chiropractic 2163500703 Reassigns benefits to 1 organization
Practice locations: Sterling, IL
I20110614000481 IA Practitioner - Chiropractic 2163500703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1405 Eagle Ridge Rd
Suite 2
Le Claire, IA 52753-9382
Phone (563) 729-1400

2522 E Lincolnway
Suite G
Sterling, IL 61081-3058
Phone (815) 626-6630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038011042ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Knight Chiropractic & Functional Health PC Chiropractor CurrentSince Aug 1, 2023 Accepting new patients
Setchell Chiropractic PC Chiropractor CurrentSince Jul 25, 2023 Accepting new patients
Kautz Chiropractic, LLC Chiropractor Past Accepting new patients

Locations

1405 Eagle Ridge Rd
Ste 2
LeClaire, IA 52753
Phone (563) 212-5858

2522 E Lincolnway
Ste G
Sterling, IL 61081
Phone (815) 626-6630

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.

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1619149572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2522 E LINCOLNWAY STE G",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "610813058",
            "telephone_number": "815-866-5029",
            "fax_number": "815-626-6796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2522 E LINCOLNWAY STE G",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "610813058",
            "telephone_number": "815-866-5029",
            "fax_number": "815-626-6796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SETCHELL",
        "first_name": "BRADLEY",
        "middle_name": "J",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-31",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038-01104201",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-IL",
            "identifier": "09821954",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.