Brian G. McElheny, M.D. LTD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036058838 Issued in IL

Legal business name

BRIAN G. MCELHENY, M.D. LTD

Practice address

207 W Jackson St
Suite # 101
Carbondale, IL 62901-1408

Phone

(618) 457-6796

Fax

(618) 549-9799

NPI assigned

Jun 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Brian George McElheny, M.D. LTD, M.D.

Title

Physician

Phone

(618) 457-6787

Specialties & licenses 1

Addresses

Other identifiers 7

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373932800000",
    "number": "1922203249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W JACKSON ST",
            "address_2": "SUITE # 101",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629011408",
            "telephone_number": "618-457-6796",
            "fax_number": "618-549-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W JACKSON ST",
            "address_2": "SUITE # 101",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629011408",
            "telephone_number": "618-457-6796",
            "fax_number": "618-549-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN G. MCELHENY, M.D. LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2013-07-16",
        "status": "A",
        "authorized_official_last_name": "MCELHENY, M.D. LTD",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "618-457-6787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036058838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036058838",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY CODE",
            "identifier": "207Q00000X",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080007297",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1386603033",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATE NPI",
            "identifier": "1922203249",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK, INC",
            "identifier": "114152",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHEILD",
            "identifier": "3900160",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Carbondale, IL
• Providers in Carbondale, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.