Individual provider Active NPI

Brandon German, D.C.

  • Chiropractor
  • Glen Ellyn, IL
National Provider Identifier
1689045916
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.012849 Issued in IL
Practice address
50 Finley Rd
Apt 1C
Glen Ellyn, IL 60137-7800
Phone
(419) 203-1358
NPI assigned
Oct 13, 2015
Last updated
Oct 13, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.012849 IL Primary
Radiology Chiropractor 111NR0200X 038.012849 IL

Addresses

Primary practice location

50 Finley Rd
Apt 1C
Glen Ellyn, IL 60137-7800

Mailing address

50 Finley Rd
Apt 1C
Glen Ellyn, IL 60137-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.012849ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sport & Spine Rehab Institute Chiropractor PastSince Apr 8, 2017 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, 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": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1689045916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 FINLEY RD",
            "address_2": "APT 1C",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601377800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 FINLEY RD",
            "address_2": "APT 1C",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601377800",
            "telephone_number": "419-203-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERMAN",
        "first_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.012849",
            "primary": true
        },
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "IL",
            "license": "038.012849",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ellyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.