Individual provider Active NPI

Leo V Bratland, R PH

  • Pharmacist
  • Danville, IL
National Provider Identifier
1801836192
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
Practice address
8 E North St
Danville, IL 61832-5804
Phone
(217) 442-2472
Fax
(217) 442-2477
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X IL Primary

Addresses

Primary practice location

8 E North St
Danville, IL 61832-5804

Mailing address

41 Country Club Dr
Danville, IL 61832-1216
Phone (217) 442-2472

Other identifiers 2

IdentifierTypeStateIssuer
1459999OtherILNABP
271275906001MedicaidIL

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)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
051030797ILMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Bratland's Prescription Shop Inc Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1801836192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 COUNTRY CLUB DR",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618321216",
            "telephone_number": "217-442-2472",
            "fax_number": "217-442-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 E NORTH ST",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618325804",
            "telephone_number": "217-442-2472",
            "fax_number": "217-442-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRATLAND",
        "first_name": "LEO",
        "middle_name": "V",
        "name_prefix": "Mr.",
        "credential": "R PH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1459999",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271275906001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.