NPIMap

Individual provider Active NPI

Jeffrey Brummer, D.O.

  • Family Medicine Physician
  • Effingham, IL
National Provider Identifier
1265417851
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036112838 Issued in IL
Practice address
1106 N Merchant St
Effingham, IL 62401-2128
Phone
(217) 342-7000
NPI assigned
Dec 7, 2005
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036112838 IL Primary

Addresses

Primary practice location

1106 N Merchant St
Effingham, IL 62401-2128

Mailing address

PO Box 665
Effingham, IL 62401-0665
Phone (217) 342-7000

Other practice location 1

503 N Maple St
Effingham, IL 62401-2006
Phone (217) 347-3565

Other identifiers 1

IdentifierTypeStateIssuer
036112838MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jbrummer100859@ewd.direct.hshs.org Other
Direct Messaging Address jeffrey.brummer@familycare.eclinicaldirectplus.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050316000816 IL Practitioner - Family Practice 0749172187 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Care Associates of Effingham SCGroup PAC ID 5890789416, 12 clinicians

Practice addresses (Care Compare)

1106 N Merchant St
Effingham, IL 62401-2128

503 N Maple St
Effingham, IL 62401-2006
Phone (217) 342-2121

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue152

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
036112838ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Anthonys Memorial Hospital of the Hospital Sisters of the Third CurrentSince Dec 9, 2009 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Mercy Medical Center-Centerville Past Accepting new patients
Emcare Physician Providers Inc. Past Accepting new patients

Locations

503 N Maple St
Effingham, IL 62401
Phone (217) 342-2121

Interoperability endpoints

  • Direct secure messaging: jeffrey.brummer@famcare.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Family Care Associates of Effingham SCEffingham, IL, CCN 783815 Rural health clinic 5% Or Greater Direct Ownership Interest (16%)
Corporate Director (16%)
W-2 Managing Employee (16%)		 Dec 7, 2009
Dec 7, 2009
Dec 7, 2009

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1265417851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 665",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624010665",
            "telephone_number": "217-342-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 N MERCHANT ST",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012128",
            "telephone_number": "217-342-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "503 N Maple St",
            "address_purpose": "LOCATION",
            "city": "Effingham",
            "state": "IL",
            "postal_code": "624012006",
            "country_code": "US",
            "telephone_number": "217-347-3565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUMMER",
        "first_name": "JEFFREY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036112838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036112838",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbrummer100859@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CDA/CCD/TXT",
            "address_1": "503 N Maple St",
            "city": "Effingham",
            "state": "IL",
            "country_code": "US",
            "postal_code": "624012006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeffrey.brummer@familycare.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Use this for Dr. Jeffrey Brummer Family Care Associates",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1106 N Merchant St",
            "city": "Effingham",
            "state": "IL",
            "country_code": "US",
            "postal_code": "624012128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Effingham, IL

Sources for this page

Verify at the official NPI Registry.