Active NPI
Cole Jonathan Verbrugge, DC
- Chiropractor
- Bourbonnais, IL
National Provider Identifier
1619781614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038.014235
- 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
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 | 038.014235 | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 038.014235 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grumish Chiropractic Offices | Chiropractor | Past | 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.
-
- Chiropractor
- Bourbonnais, IL
- NPI 1093848855
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.