Active NPI
Kyle Daniel Brown, D.C.
- Chiropractor
- Decatur, IL
National Provider Identifier
1740652569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038013256
- Practice address
- 1200 E Pershing Rd
Decatur, IL 62526-4729 - Phone
- (217) 875-3010
- NPI assigned
- Oct 21, 2015
- Last updated
- Sep 3, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038013256 | IL | Primary |
Addresses
Primary practice location
1200 E Pershing Rd
Decatur, IL 62526-4729
Mailing address
1200 E Pershing Rd
Decatur, IL 62526-4729
Phone (217) 875-3010
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, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1200 E Pershing Rd
Decatur, IL 62526-4729
Phone (217) 875-3010
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038013256 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheila J Woodrow PC | Chiropractor | Current | Accepting new patients |
| 217 Chiropractic LLC | Chiropractor | Current | Accepting new patients |
Locations
1200 E Pershing Rd
Decatur, IL 62526
Phone (217) 875-3010
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, 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": "1445385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725321600000",
"number": "1740652569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 E PERSHING RD",
"city": "DECATUR",
"state": "IL",
"postal_code": "625264729",
"telephone_number": "217-875-3010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 E PERSHING RD",
"city": "DECATUR",
"state": "IL",
"postal_code": "625264729",
"telephone_number": "217-875-3010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "KYLE",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-10-21",
"last_updated": "2024-09-03",
"certification_date": "2024-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038013256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.