Brian Everett Bird, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038007763 Issued in IL

Practice address

1100 W Main St
Carbondale, IL 62901-2335

Phone

(618) 529-5172

Fax

(618) 529-9152

NPI assigned

Feb 21, 2007

Last updated

Mar 17, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Allied Physicians and Rehab of Southern Illinois, S.C.

  • Chiropractor
  • Carbondale, IL
  • NPI 1457407413
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395014400000",
    "number": "1629113295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W MAIN ST",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629012335",
            "telephone_number": "618-529-5172",
            "fax_number": "618-529-9152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W MAIN ST",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629012335",
            "telephone_number": "618-529-5172",
            "fax_number": "618-529-9152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRD",
        "first_name": "BRIAN",
        "middle_name": "EVERETT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2014-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038007763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "03923662",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "282573",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Billy B. Laun II, DDS, PC (Oral & Maxillofacial Surgery of Carbondale, Inc)
• Megan Bily, BS
• Danielle Binkley, MSW,LSW
• David William Binversie, D.C.
• Bio-Medical Applications of Illinois, Inc. (Fresenius Medical Care Carbondale)
• Julie Ann Bird, DC
• Donald K Bishop, MD
• Jessica Ainsworth Black, LMT
• Summer R Black, CRNA
• Tenekwa Blair, NURSE AID

• Chiropractor in Carbondale, IL
• Providers in Carbondale, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.