Nicole Brod, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.012491 Issued in IL

Practice address

1S450 Summit Ave Ste 390
Oakbrook Terrace, IL 60181-3976

Phone

(630) 339-5300

NPI assigned

Aug 13, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pivotal Health and Wellness LLC

  • Chiropractor
  • Bolingbrook, IL
  • NPI 1679290845
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1992138010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 W HILLCREST BLVD STE 208",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601953111",
            "telephone_number": "630-339-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1S450 SUMMIT AVE STE 390",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813976",
            "telephone_number": "630-339-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROD",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-13",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.012491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Boateng-Sarpong
• Antonella Aida Botto, DDS
• Marijosephe Pierre Bradford, LCPC
• Katherine Bratkiv, PA-C
• Jennifer Boothe Brobst, PHD
• Judith Brown
• Charles E Burda, MD
• Cindy Burton
• Shannon Marie Callahan, LPC
• Paul S Callaway, PT

• Chiropractor in Oakbrook Terrace, IL
• Providers in Oakbrook Terrace, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.