Individual provider Active NPI

Tyler Blake Brashier, DC

  • Chiropractor
  • Huntley, IL
National Provider Identifier
1669060240
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38013658 Issued in IL
Practice address
10705 Ruth Rd
Huntley, IL 60142-7156
Phone
(847) 802-4866
NPI assigned
Jan 8, 2021
Last updated
Jan 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 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 38013658 IL Primary

Addresses

Primary practice location

10705 Ruth Rd
Huntley, IL 60142-7156

Mailing address

10705 Ruth Rd
Huntley, IL 60142-7156

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Huntley

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210524000255 IL Practitioner - Chiropractic 1951700095 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38013658ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Evolve North II PLLC Chiropractor CurrentSince Mar 11, 2024 Accepting new patients

Locations

10705 Ruth Rd
Huntley, IL 60142
Phone (847) 277-2990

750 Bunker Ct
Vernon Hills, IL 60061
Phone (847) 802-4866

750 Bunker Ct
Ste 700
Vernon Hills, IL 60061
Phone (224) 424-4938

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, 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": "1610064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1669060240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10705 RUTH RD",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601427156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10705 RUTH RD",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601427156",
            "telephone_number": "847-802-4866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASHIER",
        "first_name": "TYLER",
        "middle_name": "BLAKE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-08",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "38013658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Huntley",
            "affiliation": "N",
            "address_1": "10705 Ruth Rd",
            "city": "Huntley",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601427156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntley, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.