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PHYSICAL MEDICINE CLINIC OF GRANITE CITY LTD
NPI 1992039747
Nurse Practitioner - Adult Health in Granite City, IL

Active since September 28, 2009
2861 MADISON AVE, GRANITE CITY, IL 62040(618) 877-4000(618) 877-0874 Get Directions Write a Review

NPPES record last updated: October 15, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Physical Medicine Clinic Of Granite City Ltd NPPES

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

PHYSICAL MEDICINE CLINIC OF GRANITE CITY LTD (NPI 1992039747) is a healthcare organization registered as an adult health in Granite City, Illinois and active in the NPI registry since September 2009. The organization lists Bridget Brasfield, Owner/chiropractor, as its authorized official.

NPPES Registry Identity

NPI1992039747
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NamePHYSICAL MEDICINE CLINIC OF GRANITE CITY LTD
Location Address2861 MADISON AVEGranite City, IL 62040-3614
Mailing Address2861 Madison AveGranite City, IL 62040-3614 · (618) 877-4000 · Fax (618) 877-0874
Phone(618) 877-4000
Fax(618) 877-0874
Organization SubpartNo
Authorized OfficialBridget BrasfieldOwner/chiropractor · (618) 877-4000
Enumeration DateSeptember 28, 2009
Last NPPES UpdateOctober 15, 2013
✔ NPI 1992039747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in IL · 209007631
Also ListedChiropractorTaxonomy 111N00000X · License 038009646 (IL)
2861 MADISON AVE, Granite City, IL 62040
Open in Google Maps ↗

Other Identifiers 1

Medicare NSC6470500001IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

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

JOSHUA H. HOTTES S.C.
Chiropractor
2861 MADISON AVE
GRANITE CITY, IL 62040
Madison County (618) 877-1644
PHYSICAL MEDICINE CLINIC OF GRANITE CITY LTD
Non-Pharmacy Dispensing Site
2861 MADISON AVE
GRANITE CITY, IL 62040
Madison County (618) 877-4000
KELSEY RAHMOELLER DC
Chiropractor
2861 MADISON AVE
GRANITE CITY, IL 62040
Madison County (618) 931-2050
KAITLYN J STROH FNP
Nurse Practitioner (Family)
2861 MADISON AVE
GRANITE CITY, IL 62040
Madison County (618) 709-7723
LINDA IDEAN RICH APRN
Nurse Practitioner
2861 MADISON AVE
GRANITE CITY, IL 62040
Madison County (618) 709-7723
ROBERT MONTGOMERY
Physician Assistant
2861 MADISON AVE
GRANITE CITY, IL 62040
Madison County (618) 709-7723
GRANITE CITY URGENT CARE WALK-IN CLINIC
Clinic/Center (Urgent Care)
2861 MADISON AVE
GRANITE CITY, IL 62040
Madison County (734) 771-8504
KRISTEN SINCLAIR NP
Nurse Practitioner
2861 MADISON AVE
GRANITE CITY, IL 62040
Madison County (313) 948-3055

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 Physical Medicine Clinic Of Granite City Ltd's NPI number?

The NPI number for Physical Medicine Clinic Of Granite City Ltd is 1992039747. It was assigned to this organization in the NPPES registry on September 28, 2009.

Where is Physical Medicine Clinic Of Granite City Ltd located?

Physical Medicine Clinic Of Granite City Ltd is located at 2861 Madison Ave, Granite City, IL 62040. The listed phone number is (618) 877-4000.

What is Physical Medicine Clinic Of Granite City Ltd's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Physical Medicine Clinic Of Granite City Ltd was last updated on October 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.