DR. ROBERT JUDSON BREWER M.D. NPI 1457355315

NPI Information

  • NPI: 1457355315
  • Provider Name: DR. ROBERT JUDSON BREWER, M.D.
  • Classification: Surgery - 208600000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 220 S PARK AVE
    3RD FLOOR
    HERRIN, IL
    ZIP 62948
  • Phone: (618) 942-2002

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NPI Details

DR. Robert Judson Brewer, M.D. is a surgery in Herrin, IL with 43 years of experience. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. DR. Robert Judson Brewer, M.D. NPI is 1457355315. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOUISVILLE MEDICAL COLLEGE
Graduation Year:1983

The provider's business location address is:

220 S PARK AVE
3RD FLOOR
HERRIN, IL
ZIP 62948-612
Phone: (618) 942-2002
Fax: (618) 351-6497

The NPI 1457355315 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/9/2005 and was last updated on 1/12/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgery23499KENTUCKYNo
2208600000XSurgery036117928ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13932056OTHERILLINOISBCBS
2036117928MEDICAIDILLINOIS
3319226OTHERILLINOISGHP
464234990MEDICAIDKENTUCKY
5C71393MEDICARE UPINKENTUCKY
6654532OTHERILLINOISHEALTHLINK
77210895OTHERILLINOISAETNA
81270110MEDICARE ID-TYPE UNSPECIFIEDKENTUCKY
9133018OTHERILLINOISHEALTH ALLIANCE
10214881MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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