CROSSROADS PHYSICIAN CORPORATION
NPI 1629063698
Family Medicine in Nashville, IL

Active since September 15, 2005
1245 S MILL ST, NASHVILLE, IL 62263(618) 327-9333(618) 327-9022 Get Directions Write a Review

NPPES record last updated: April 27, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Crossroads Physician Corporation NPPES

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

CROSSROADS PHYSICIAN CORPORATION (NPI 1629063698) is a healthcare organization registered as a family medicine in Nashville, Illinois and active in the NPI registry since September 2005. The organization lists Debbie T Brewer, Director Of Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1629063698
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCROSSROADS PHYSICIAN CORPORATION
Location Address1245 S MILL STNashville, IL 62263-2004
Mailing Address7100 Commerce Way, Suite 180Brentwood, TN 37027-2829
Fax(618) 327-9022
Organization SubpartNo
Authorized OfficialDebbie T BrewerDirector Of Provider Enrollment · (615) 465-7626
Enumeration DateSeptember 15, 2005
Last NPPES UpdateApril 27, 2009
NPI 1629063698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedPhysician AssistantTaxonomy 363A00000X
1245 S MILL ST, Nashville, IL 62263

Other Identifiers 4

Medicaid036052179IL
Medicare PIN212649IL
Medicare PIN81890IL
Medicare PIN207366IL

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.

Family Medicine
1245 S MILL ST
NASHVILLE, IL 62263
Surgery (Vascular Surgery)
1245 S MILL ST
NASHVILLE, IL 62263
Orthopaedic Surgery
1245 S MILL ST
NASHVILLE, IL 62263
Surgery (Vascular Surgery)
1245 S MILL ST
NASHVILLE, IL 62263
Physician Assistant
1245 S MILL ST, POB 231
NASHVILLE, IL 62263
Clinic/Center (Rural Health)
1245 S MILL ST
NASHVILLE, IL 62263
Internal Medicine (Cardiovascular Disease)
1245 S MILL ST
NASHVILLE, IL 62263
Internal Medicine (Pulmonary Disease)
1245 S MILL ST
NASHVILLE, IL 62263

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 Crossroads Physician Corporation's NPI number?

The NPI number for Crossroads Physician Corporation is 1629063698. It was assigned to this organization in the NPPES registry on September 15, 2005.

Where is Crossroads Physician Corporation located?

Crossroads Physician Corporation is located at 1245 S Mill St, Nashville, IL 62263. The listed phone number is (618) 327-9333.

What is Crossroads Physician Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Crossroads Physician Corporation was last updated on April 27, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.