BRANDY EICHELBERGER (NPI# 1750830451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750830451 |
| Entity Type | Individual |
| Full Name | BRANDY EICHELBERGER |
| Credential | ANP-BC |
| Practice Address |
2100 Madison Ave Granite City IL 62040 |
| Mailing Address |
2100 Madison Ave Ste 206 Granite City IL 62040-4713 |
| Practice Telephone | 6187983942 |
| Mailing Telephone | 6187988460 |
| Mailing Fax Number | 6187988469 |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2018-03-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209014835 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
209014835 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2100 MADISON AVE |
| City | GRANITE CITY |
| State | IL |
| Zip Code | 62040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265439640 | Timothy Hipskind | Internal Medicine | 2100 Madison Ave, Granite City, IL 62040-4701 | 2005-06-30 |
| 1720606973 | Lisa Lawrence | Social Worker | 2100 Madison Ave, Granite City, IL 62040-4713 | 2020-07-13 |
| 1588283360 | Bridget Burwell | Nurse Practitioner | 2100 Madison Ave, Granite City, IL 62040-4713 | 2020-04-13 |
| 1457982050 | Steven T Hillmer | Dietitian, Registered | 2100 Madison Ave, Granite City, IL 62040-4713 | 2020-02-01 |
| 1366090573 | Donald Lee Clark IIi | Nurse Practitioner | 2100 Madison Ave, Granite City, IL 62040-4713 | 2019-08-30 |
| 1407412752 | Great River Radiology, Inc | Radiology | 2100 Madison Ave, Granite City, IL 62040 | 2019-05-13 |
| 1831601376 | Cep America - Illinois Snf, LLP | Internal Medicine | 2100 Madison Ave, Granite City, IL 62040-4713 | 2017-10-24 |
| 1467977561 | Anna Gilbreth | Nurse Practitioner | 2100 Madison Ave, Granite City, IL 62040-4713 | 2017-08-09 |
| 1952831893 | Kendall Brennan Knobeloch | Registered Nurse | 2100 Madison Ave, Granite City, IL 62040-4713 | 2017-06-13 |
| 1295262459 | Emily Marie Cottrell | Nurse Practitioner | 2100 Madison Ave, Granite City, IL 62040-4713 | 2017-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043736705 | Christine S Bieniecki Canada | Speech-Language Pathologist | 2300 West 25th St, Granite City, IL 62040 | 2017-08-15 |
| 1881085819 | James Watson | Counselor | 50 Northgate Industrial Drive, Granite City, IL 62040 | 2015-02-12 |
| 1518208719 | Chestnut Health Systems | Clinic/Center | 110 Northagte Industrial Drive, Granite City, IL 62040 | 2013-03-13 |
| 1952651697 | Victor Manuel Pinones | Dentist | 2130 Johnson Rd., Granite City, IL 62040 | 2012-09-10 |
| 1427360502 | Erin K Boerm | Occupational Therapist | 3540 Village Lane, Granite City, IL 62040 | 2010-07-06 |
| 1659503027 | Toni Lyn Siler | Counselor | 101 Whitsell Way, Apt 102, Pontoon Beach, IL 62040 | 2009-08-18 |
| 1871741462 | Fountain View Manor LLC | Alzheimer Center (Dementia Center) | 3432 Village Lane, Granite City, IL 62040 | 2008-09-08 |
| 1083880595 | Christina Marie Darin | Chiropractor | 2013 Johnson Road, Suite C & D, Granite City, IL 62040 | 2008-05-05 |
| 1629244322 | Julia Elaine Uhring Green | Counselor | 2429 Washinton Ave, Granite City, IL 62040 | 2008-05-02 |
| 1578786117 | John K Parker | Preventive Medicine | Veeder Health Center, 20th and Iowa, Granite City, IL 62040 | 2007-04-11 |
| Find all providers in zip 62040 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588283360 | Bridget Burwell | Nurse Practitioner | 2100 Madison Ave, Granite City, IL 62040-4713 | 2020-04-13 |
| 1811527120 | Christina Radosevich | Nurse Practitioner | 2861 Madison Ave, Granite City, IL 62040-3614 | 2020-01-25 |
| 1558904508 | Debra J Connell-dent | Nurse Practitioner | 50 Northgate Industrial Dr, Granite City, IL 62040-6805 | 2019-10-22 |
| 1245871243 | Alice M Halliday | Nurse Practitioner | 2861 Madison Ave, Granite City, IL 62040 | 2019-10-01 |
| 1669022182 | Rebecca Lynn Harris | Nurse Practitioner | 50 Northgate Industrial Dr, Granite City, IL 62040-6805 | 2019-09-17 |
| 1366090573 | Donald Lee Clark IIi | Nurse Practitioner | 2100 Madison Ave, Granite City, IL 62040-4713 | 2019-08-30 |
| 1790345726 | Gillian K Long | Nurse Practitioner | 2861 Madison Ave, Granite City, IL 62040-3614 | 2019-06-20 |
| 1700350170 | Kimberly J Mitchell | Nurse Practitioner | 5 Kennedy Dr, Granite City, IL 62040 | 2019-01-18 |
| 1073973863 | Amanda Hemphill | Nurse Practitioner | 2120 Madison Ave, Suite 404, Granite City, IL 62040-4744 | 2016-03-07 |
| 1578970505 | Joellen Juenger | Nurse Practitioner | 50 Northgate Industrial Dr, Granite City, IL 62040-6805 | 2014-07-22 |
| Find all providers in GRANITE CITY | ||||
| City | GRANITE CITY |
| Zip Code | 62040 |
Please comment or provide details below to improve the information on BRANDY EICHELBERGER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.