Individual provider Active NPI

Bradley A Backhaus, D.C.

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1679983571
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.012607 Issued in IL
Practice address
3019 N Lincoln Ave Apt 1
Chicago, IL 60657-0843
Phone
(312) 208-1550
Fax
(312) 284-8869
NPI assigned
Apr 30, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.012607 IL Primary

Addresses

Primary practice location

3019 N Lincoln Ave Apt 1
Chicago, IL 60657-0843

Mailing address

3019 N Lincoln Ave Apt 1
Chicago, IL 60657-0843
Phone (312) 208-1550

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140529001465 IL Practitioner - Chiropractic 4385867977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2908 N Lincoln Ave
Chicago, IL 60657-4109
Phone (312) 208-1550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.012607ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley Backhaus DC LLC CurrentSince May 9, 2014 Accepting new patients

Locations

2908 N Lincoln Ave
Chicago, IL 60657
Phone (312) 208-1550

2908 N Lincoln Ave
Ste 411
Chicago, IL 60657

2835 N Sheffield Ave
Ste 411
Chicago, IL 60657
Phone (331) 215-4164

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": "1398816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1679983571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 N LINCOLN AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606570843",
            "telephone_number": "312-208-1550",
            "fax_number": "312-284-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 N LINCOLN AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606570843",
            "telephone_number": "312-208-1550",
            "fax_number": "312-284-8869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACKHAUS",
        "first_name": "BRADLEY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-30",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.012607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.