BRIAN POWELL
NPI 1225422330
General Practice in Maywood, IL

Active since March 26, 2015PECOS Enrolled
2160 S 1ST AVE, MAYWOOD, IL 60153(708) 327-3436 Get Directions Write a Review

NPPES record last updated: May 30, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brian Powell NPPES

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

BRIAN POWELL (NPI 1225422330) is an individual general practice provider in Maywood, Illinois, licensed in Illinois (036146884) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1225422330
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameBRIAN POWELL
Location Address2160 S 1ST AVEMaywood, IL 60153-3328
Mailing Address2160 S 1st AveMaywood, IL 60153-3328
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 26, 2015
Last NPPES UpdateMay 30, 2019
NPI 1225422330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in IL · 036146884
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

2160 S 1ST AVE, Maywood, IL 60153

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Brian Powell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062713860
PECOS Enrollment IDI20260318000828
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.

Other Providers at the Same Location NPPES 20

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

Radiology (Diagnostic Radiology)
2160 S 1ST AVE
MAYWOOD, IL 60153
Podiatrist (Foot & Ankle Surgery)
2160 S 1ST AVE
MAYWOOD, IL 60153
Psychiatry & Neurology (Neurology)
2160 S 1ST AVE
MAYWOOD, IL 60153
Oral & Maxillofacial Surgery
2160 S 1ST AVE
MAYWOOD, IL 60153
Psychiatry & Neurology (Psychiatry)
2160 S 1ST AVE
MAYWOOD, IL 60153
Student in an Organized Health Care Education/Training Program
2160 S 1ST AVE
MAYWOOD, IL 60153
Orthopaedic Surgery
2160 S 1ST AVE
MAYWOOD, IL 60153
Internal Medicine
2160 S 1ST AVE
MAYWOOD, IL 60153

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Powell's NPI number?

The NPI number for Brian Powell is 1225422330. It was assigned to this individual provider in the NPPES registry on March 26, 2015.

Where is Brian Powell located?

Brian Powell practices at 2160 S 1st Ave, Maywood, IL 60153. The listed phone number is (708) 327-3436.

What is Brian Powell's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Brian Powell enrolled in Medicare?

Yes. Brian Powell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brian Powell was last updated on May 30, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.