Robert Judson Brewer, M.D.

Surgery Physician · Herrin, IL

Individual Active NPI

NPI number 1457355315

Practice location

220 S Park Ave
3rd Floor
Herrin, IL 62948-3612
Phone
(618) 942-2002
Fax
(618) 351-6497

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NPI record

NPI
1457355315
Entity type
Individual (Type 1)
Enumeration date
June 9, 2005
Last updated
January 12, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgery Physician Primary 208600000X 036117928 IL
Surgery Physician 208600000X 23499 KY

Mailing address

PO Box 1105
Indianapolis, IN 46206-1105
Phone
(618) 549-5361
Fax
(618) 549-5128

About Dr. Brewer

Robert Judson Brewer, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 220 S Park Ave, 3rd Floor, Herrin, IL 62948-3612. The NPI number 1457355315 was assigned on June 9, 2005 and the record was last updated on January 12, 2015.

Dr. Brewer lists 2 licenses in the registry: #036117928 (IL) for Surgery Physician; #23499 (KY) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Robert Judson Brewer, M.D.?

The NPI number is 1457355315.

What is the phone number of Dr. Brewer?

The phone number listed for the practice location is (618) 942-2002.

Where is Dr. Brewer located?

220 S Park Ave, 3rd Floor, Herrin, IL 62948-3612.

What is the taxonomy code for Dr. Brewer?

The primary taxonomy code is 208600000X – Surgery Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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