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GRADY MATTHEW BIRDSELL DC
NPI 1366545576
Chiropractor in Moline, IL

Active since September 06, 2006
1201 5TH AVE, MOLINE, IL 61265(309) 764-8821(309) 757-4773 Get Directions Write a Review

NPPES record last updated: December 3, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Grady Matthew Birdsell Dc NPPES

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

GRADY MATTHEW BIRDSELL DC (NPI 1366545576) is an individual chiropractor in Moline, Illinois and active in the NPI registry since September 2006. He is a graduate of Palmer College Chiropractic - Davenport (1983).

NPPES Registry Identity

NPI1366545576
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameGRADY MATTHEW BIRDSELLCredential: DC
Location Address1201 5TH AVEMoline, IL 61265-1331
Mailing Address1201 5th AveMoline, IL 61265-1331 · (309) 764-8821 · Fax (309) 757-4773
Phone(309) 764-8821
Fax(309) 757-4773
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 1983
Enumeration DateSeptember 6, 2006
Last NPPES UpdateDecember 3, 2007
✔ NPI 1366545576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1201 5TH AVE, Moline, IL 61265
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINT38034
Medicare PINK46493IL
Other8182020IL · Blue Cross Bs

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grady Matthew Birdsell Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890883037
PECOS Enrollment IDI20071121000362

Medicare Billing Reassignment

Medicare enrollment records show Grady Birdsell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Birdsell Chiropractic & Acupuncture Clinic, Chartered
Same address
Chiropractor
1201 5TH AVENUE
Moline, IL 61265
  • Reassigned Medicare billing, Illinois enrollment
  • 3 clinicians in this Medicare group
NPI 1831292457 (309) 764-8821

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
153 services23 patients

Other Providers at the Same Location NPPES

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

MELISSA KAE BIRDSELL D.C.
Chiropractor
1201 5TH AVE
MOLINE, IL 61265
Rock Island County (309) 764-8821

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 Grady Birdsell's NPI number?

The NPI number for Grady Birdsell is 1366545576. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Where is Grady Birdsell located?

Grady Birdsell practices at 1201 5th Ave, Moline, IL 61265. The listed phone number is (309) 764-8821.

What is Grady Birdsell's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Grady Birdsell enrolled in Medicare?

Yes. Grady Birdsell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Grady Birdsell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grady Birdsell reassigns Medicare benefits to Birdsell Chiropractic & Acupuncture Clinic, Chartered (Moline, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Grady Birdsell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Grady Birdsell was last updated on December 3, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.