Organization Active NPI

Brewer Chiropractic, LTD

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1730345786
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038009882 Issued in IL
Legal business name
BREWER CHIROPRACTIC, LTD
Practice address
2320 N Damen Ave
Suite 1R
Chicago, IL 60647-3359
Phone
(773) 489-0001
Fax
(773) 489-0003
NPI assigned
Jul 30, 2008
Last updated
Jul 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Authorized official

Name
Dr. Brent M Brewer, D.C.NPI 1952434144
Title
President
Phone
(630) 430-8147

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038009882 IL Primary

Addresses

Primary practice location

2320 N Damen Ave
Suite 1R
Chicago, IL 60647-3359

Mailing address

2320 N Damen Ave
Suite 1R
Chicago, IL 60647-3359
Phone (773) 489-0001

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1730345786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 N DAMEN AVE",
            "address_2": "SUITE 1R",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606473359",
            "telephone_number": "773-489-0001",
            "fax_number": "773-489-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 N DAMEN AVE",
            "address_2": "SUITE 1R",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606473359",
            "telephone_number": "773-489-0001",
            "fax_number": "773-489-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREWER CHIROPRACTIC, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-30",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-430-8147",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009882",
            "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 Jul 30, 2008; 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.