Brett Howard Herzog, MD PHD
Individual provider Active NPI Medical Oncology Physician · Shiloh, IL
NPI 1023499282 · NPPES record last updated Apr 21, 2025
Key facts
- NPI
- 1023499282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Oncology Physician 207RX0202X
- License
- 036153509 (IL)
- Practice address
- 1418 Cross St
Div Im Medical Oncology, Ste 180
Shiloh, IL 62269-2914 - Phone
- (618) 607-1340
- Fax
- (618) 622-9724
- NPI assigned
- Jun 13, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Medical Oncology
- Education
- University of Oklahoma College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Washington University
Washington University Physicians in Illinois Inc
Practice addresses (Care Compare)
1 Barnes Jew Hosp PLZ
Saint Louis, MO 63110-1003
Phone (314) 747-3000
1418 Cross St
Suite 180
Shiloh, IL 62269-2965
Phone (618) 607-1340
Hospital & facility affiliations
- Hospice of Southern Illinois, Inc
- Memorial Hospital
- Barnes Jewish Hospital
- Alton Memorial Hospital
- Barnes-Jewish St Peters Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.01 of 100
- Quality
- 76.14
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 76.43
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.2 of 100
- Quality
- 71.6
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.75
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL, MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200808000063 | IL | Practitioner - Medical Oncology |
1850605734 | Reassigns benefits to 1 organization |
| I20210813002314 | MO | Practitioner - Medical Oncology |
1850605734 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036153509 | IL | MD | Medical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington University Physicians in Illinois, Inc | Current | Accepting new patients | |
| Washington University Physicians in Illinois, Inc | Current |
Accepting new patients | |
| Washington University Physicians in Illinois, Inc | Current |
Accepting new patients |
Locations
1418 Cross St
Ste 180
Shiloh, IL 62269
Phone (618) 607-1340
1404 Cross St
Shiloh, IL 62269
Phone (618) 607-1000
4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750
4240 Duncan Ave
Ste 301
Saint Louis, MO 63110
1 Barnes Jewish Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-1700
Interoperability endpoints
- bherzog156331@direct.carenet.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036153509 | IL | |
| Medical Oncology Physician | 207RX0202X | 036153509 | IL | Yes |
Addresses
Primary practice location
1418 Cross St
Div Im Medical Oncology, Ste 180
Shiloh, IL 62269-2914
Mailing address
PO Box 7412011
Chicago, IL 60674-2011
Phone (618) 607-1340
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200063716 | Medicaid | MO |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Washington University |
Other providers in Shiloh, IL
- Keith R. Hamm
- Deirdre Hart
- Kristina Mae Heafner
- Heartland Women'S Healthcare Il PC
- Dana Michelle Heimann
- Elizabeth Anne Hettler
- Highland Park CVS LLC
- James M Hitchcock
- Kevin Hoffmann
- Home Assist
All providers in Shiloh, IL · Medical Oncology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.