Active NPI
Brian Richard Anderson, DC, MPH
- Chiropractor
- Chicago, IL
National Provider Identifier
1811903354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038-010322
- Practice address
- 150 E Huron St
Suite 1100
Chicago, IL 60611-2999 - Phone
- (312) 926-1593
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 038-010322 | IL | Primary |
Addresses
Primary practice location
150 E Huron St
Suite 1100
Chicago, IL 60611-2999
Mailing address
150 E Huron St
Suite 1100
Chicago, IL 60611-2999
Phone (312) 926-1593
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-010322 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National University of Health Sciences | Chiropractor | Current | Accepting new patients |
| Northwestern Memorial Physicians Group | Chiropractor | Past | Accepting new patients |
| Martin Avenue Chiropractic & Wellness S.C | Past | Accepting new patients |
Locations
200 E Roosevelt Rd
Lombard, IL 60148
Phone (630) 629-9664
Interoperability endpoints
- https://api.platform.athenahealth.com/11209/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
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- Internal Medicine Physician
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- NPI 1538111299
Chiropractor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232064000000",
"number": "1811903354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 E HURON ST",
"address_2": "SUITE 1100",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112999",
"telephone_number": "312-926-1593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 E HURON ST",
"address_2": "SUITE 1100",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112999",
"telephone_number": "312-926-1593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "BRIAN",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "DC, MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2009-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038-010322",
"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 Jan 16, 2009; 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.