Brian Christopher Buelt, D.C.
Individual provider Active NPI Chiropractor · Galesburg, IL
NPI 1972500643 · NPPES record last updated Jul 9, 2010
Key facts
- NPI
- 1972500643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 038006438 (IL)
- Practice address
- 672 W Main St
Galesburg, IL 61401-3549 - Phone
- (309) 343-5175
- Fax
- (309) 343-2519
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1989
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
672 W Main St
Galesburg, IL 61401-3549
Phone (309) 343-5175
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101206000148 | IL | Practitioner - Chiropractic | 4789871633 | Practice locations: Galesburg, IL |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038006438 | IL | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038006438 | IL | Yes |
Addresses
Primary practice location
672 W Main St
Galesburg, IL 61401-3549
Mailing address
672 W Main St
Galesburg, IL 61401-3549
Phone (309) 343-5175
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0004882016 | Other | IL | BC/CS |
Other providers in Galesburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.