Robert Hermann DC SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ROBERT HERMANN DC SC

Practice address

2415 E Washington Street Ste F
Bloomington, IL 61704

Phone

(309) 663-2423

Fax

(309) 662-0223

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Robert J Hermann, DC DABCONPI 1083653158

Title

President Owner

Phone

(309) 663-2423

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ChiroCare Former legal business name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert J Hermann, D.C.

  • Orthopedic Chiropractor
  • Bloomington, IL
  • NPI 1083653158
  Medicare reassignment NPD Authorized official
• Julie Lynn Salzbrunn, D.C.

  • Chiropractor
  • Bloomington, IL
  • NPI 1912097007
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689762676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 E WASHINGTON STREET STE F",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "61704",
            "telephone_number": "309-663-2423",
            "fax_number": "309-662-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 E WASHINGTON STREET STE F",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "61704",
            "telephone_number": "309-663-2423",
            "fax_number": "309-662-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT HERMANN DC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERMANN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT    OWNER",
        "authorized_official_telephone_number": "309-663-2423",
        "authorized_official_credential": "DC  DABCO"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "05732056",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ChiroCare",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Brook Rivera
• Morgan Rivera, M.S. CCC-SLP/L
• Irfan Rizvic, MD
• Annette Alyse Robbins
• Robert D. Horenkamp, D.D.S. P.C.
• Robert S. Baller, MD,PC
• Clarissa Renee Robert, MS, CCC-SLP
• Bethany Roberts
• Jeanette Lois Roberts, L.C.S.W.
• Kimberley Roberts, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.