Active NPI
Jeffrey A. Brower, M.D.
- Family Medicine Physician
- Springfield, IL
National Provider Identifier
1073623245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036-082540
- Practice address
- 775 Engineering Dr
Springfield, IL 62703-5909 - Phone
- (217) 522-4300
- NPI assigned
- Aug 30, 2006
- Last updated
- Jan 21, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036-082540 | IL | Primary |
Addresses
Primary practice location
775 Engineering Dr
Springfield, IL 62703-5909
Mailing address
1121 N 6TH St
Vandalia, IL 62471-1219
Phone (618) 283-2222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-082540 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinite Medical Center LLC | Family Medicine | Past | Accepting new patients |
| Springfield Clinic, LLP | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Glen Carbon, IL
- NPI 1013470905
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1780638478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579564800000",
"number": "1073623245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1121 N 6TH ST",
"city": "VANDALIA",
"state": "IL",
"postal_code": "624711219",
"telephone_number": "618-283-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "775 ENGINEERING DR",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627035909",
"telephone_number": "217-522-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWER",
"first_name": "JEFFREY",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2020-01-21",
"certification_date": "2020-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036-082540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.