Chad H Barclay, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

007624 Issued in IA

Practice address

4110 Blackhawk Rd
Suite 1
Rock Island, IL 61201-7093

Phone

(309) 786-0883

NPI assigned

Apr 17, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Be Well Chiro PLLC

  • Chiropractor
  • Rock Island, IL
  • NPI 1528788262
  Medicare reassignment NPD

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1801230107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 BLACKHAWK RD",
            "address_2": "SUITE 1",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612017093",
            "telephone_number": "563-271-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 BLACKHAWK RD",
            "address_2": "SUITE 1",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612017093",
            "telephone_number": "309-786-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARCLAY",
        "first_name": "CHAD",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-17",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Ann Baker, RN
• Melissa Baker, MS, CCC-SLP
• Jonathan E Baldwin, PA-C
• Derek A Ball, PHD
• John S Banas, MD
• Logan Michael Barkley, PA-C
• Victor J Barney, MD
• Michael Barr, MD
• Kim R Barry
• Emily Barth

• Chiropractor in Rock Island, IL
• Providers in Rock Island, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.