Individual provider Active NPI

Brent Alan Beyer, D.C.

  • Chiropractor
  • Arrowsmith, IL
National Provider Identifier
1922074129
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038007235 Issued in IL
Practice address
208 N Main St
Arrowsmith, IL 61722-7512
Phone
(309) 531-3695
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038007235 IL Primary

Addresses

Primary practice location

208 N Main St
Arrowsmith, IL 61722-7512

Mailing address

308 S Main St
Arrowsmith, IL 61722-9407
Phone (309) 531-3695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060331000019 IL Practitioner - Chiropractic 2466460530 Practice locations: Arrowsmith, IL; Fisher, IL

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

208 N Main St
Arrowsmith, IL 61722-7512
Phone (309) 531-3695

PO Box
Suite 61
Arrowsmith, IL 61722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038007235ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Downstate Chiropractic Center Chiropractor Past Accepting new patients
Bloomington Chiropractic Center, LTD. Chiropractor PastSince Aug 6, 1996 Accepting new patients
Arrowsmith Chiropractic, Inc. Chiropractor PastSince Mar 1, 2013 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1922074129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 S MAIN ST",
            "city": "ARROWSMITH",
            "state": "IL",
            "postal_code": "617229407",
            "telephone_number": "309-531-3695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 N MAIN ST",
            "city": "ARROWSMITH",
            "state": "IL",
            "postal_code": "617227512",
            "telephone_number": "309-531-3695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEYER",
        "first_name": "BRENT",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038007235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arrowsmith, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.

Verify at the official NPI Registry.