Individual provider Active NPI

Bradley Friel, D.C.

  • Chiropractor
  • Highland Park, IL
National Provider Identifier
1922151901
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-008212 Issued in IL
Practice address
1950 Sheridan Rd Ste 201
Highland Park, IL 60035-2530
Phone
(847) 681-1920
Fax
(847) 681-1921
NPI assigned
Jan 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-008212 IL Primary

Addresses

Primary practice location

1950 Sheridan Rd Ste 201
Highland Park, IL 60035-2530

Mailing address

1964 Sheridan Rd Ste 1
Highland Park, IL 60035-2541
Phone (847) 681-1920

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081223000590 IL Practitioner - Chiropractic 9133281272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

595 Elm PL
Suite 218
Highland Park, IL 60035-2529
Phone (847) 681-1920

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-008212ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Bradley T. Friel, P.C. Chiropractor CurrentSince Aug 1, 1997 Accepting new patients

Locations

595 Elm Pl
Ste 218
Highland Park, IL 60035
Phone (847) 681-1920

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": "1169337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229472000000",
    "number": "1922151901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1964 SHERIDAN RD STE 1",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352541",
            "telephone_number": "847-681-1920",
            "fax_number": "847-681-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 SHERIDAN RD STE 201",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352530",
            "telephone_number": "847-681-1920",
            "fax_number": "847-681-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEL",
        "first_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-21",
        "last_updated": "2008-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-008212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; 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.