Active NPI
Brenda Michelle Baer, DC
- Chiropractor
- Rockford, IL
National Provider Identifier
1669406401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Practice address
- 2585 N Mulford Rd
Rockford, IL 61114 - Phone
- (815) 636-9450
- Fax
- (815) 636-9443
- NPI assigned
- Jul 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3424012 | WI | |
| Chiropractor | 111N00000X | IL | Primary |
Addresses
Primary practice location
2585 N Mulford Rd
Rockford, IL 61114
Mailing address
2585 N Mulford Rd
Rockford, IL 61114
Phone (815) 636-9450
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82055905312 | Other | WI | BCBS |
| 10132030 | Other | IL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3779 N Alpine Rd
Rockford, IL 61114-4807
Phone (815) 636-9450
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3424012 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baer Chiropractic & Wellness Inc. | Current | Accepting new patients | |
| Stephen J Monson Chiropractic Clinic PC | Chiropractor | Current | Accepting new patients |
Locations
3779 N Alpine Rd
Rockford, IL 61114
Phone (815) 633-9115
2585 N Mulford Rd
Rockford, IL 61114
Phone (815) 636-9450
Organizations & group practices 2
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.
-
- Pediatric Chiropractor
- Rockford, IL
- NPI 1417114547
-
- Chiropractor
- Rockford, IL
- NPI 1538271846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669406401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2585 N MULFORD RD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "61114",
"telephone_number": "815-636-9450",
"fax_number": "815-636-9443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2585 N MULFORD RD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "61114",
"telephone_number": "815-636-9450",
"fax_number": "815-636-9443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAER",
"first_name": "BRENDA",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "3424012",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "82055905312",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "10132030",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.