Individual provider Active NPI

Cole Jonathan Verbrugge, DC

  • Chiropractor
  • Bourbonnais, IL
National Provider Identifier
1619781614
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.014235 Issued in IL
Practice address
40 Briarcliff Professional Center
Bourbonnais, IL 60914-1665
Phone
(815) 939-0990
NPI assigned
Feb 3, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.014235 IL Primary

Addresses

Primary practice location

40 Briarcliff Professional Center
Bourbonnais, IL 60914-1665

Mailing address

40 Briarcliff Professional Center
Bourbonnais, IL 60914
Phone (815) 939-0990

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250402001185 IL Practitioner - Chiropractic 3678096427 Practice locations: Bourbonnais, IL

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

40 Briarcliff LN
Bourbonnais, IL 60914-1665
Phone (815) 939-0990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.014235ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Grumish Chiropractic Offices Chiropractor PastSince Feb 1, 2025 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1619781614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BRIARCLIFF PROFESSIONAL CENTER",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "60914",
            "telephone_number": "815-939-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BRIARCLIFF PROFESSIONAL CENTER",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141665",
            "telephone_number": "815-939-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERBRUGGE",
        "first_name": "COLE",
        "middle_name": "JONATHAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.014235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bourbonnais, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.

Verify at the official NPI Registry.