Crossroads Physician Corp
NPI 1598759516ActiveOrganization· Family Medicine· Salem, IL
Family Medicine in Salem, Illinois, registered in NPPES in September 2005, part of Crossroads Physician Corp. The authorized official on file is Debbie T. Brewer, Director Of Provider Enrollment.
Overview
| NPI | 1598759516 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Crossroads Physician Corp |
| NPI issued | Sep 6, 2005 |
| Last updated in NPPES | Sep 18, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | IL |
| Nurse Practitioner | 363L00000X | — | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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