DR. BRYAN DAVID CLEMENTS II DO, MA
NPI 1104454396
Psychiatry & Neurology - Neurology in Chicago, IL

Q: What is Bryan Clements's NPI number?

The NPI number for Bryan Clements is 1104454396. It was assigned to this individual provider in the NPPES registry on April 1, 2020.

Q: What is Bryan Clements's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Bryan Clements was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 01, 2020PECOS Enrolled

1725 W HARRISON ST STE 309, CHICAGO, IL 60612(312) 942-8011 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 28, 2025, Jun 10, 2021, Apr 1, 2020 (3 updates tracked since 2020).

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About Dr. Bryan David Clements Ii Do, Ma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRYAN DAVID CLEMENTS II DO, MA (NPI 1104454396) is an individual neurology provider in Chicago, Illinois, licensed in Illinois (036.174488) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104454396

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameDR. BRYAN DAVID CLEMENTS IICredential: DO, MA

Location Address1725 W HARRISON ST STE 309Chicago, IL 60612-3844

Mailing Address1725 W Harrison St Ste 309Chicago, IL 60612-3844 · (312) 942-8011

Phone(312) 942-8011

Sole ProprietorNo

Enumeration DateApril 1, 2020

Last NPPES UpdateMay 28, 20253 updates tracked since enumeration

NPPES CertifiedMay 28, 2025

✔ NPI 1104454396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in IL · 036.174488

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

1725 W HARRISON ST STE 309, Chicago, IL 60612

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bryan David Clements Ii Do, Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SANJITI MIRMIRE MBBS

Psychiatry & Neurology (Neurology)