Individual provider Active NPI

Owen Brewer, MD

  • Emergency Medicine Physician
  • Peoria, IL
National Provider Identifier
1497384861
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
125.076984 Issued in IL
Practice address
530 NE Glen Oak Ave BLDG 2624
Peoria, IL 61637-0001
Phone
(309) 655-6710
NPI assigned
Apr 7, 2020
Last updated
Feb 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4301513372 MI
Emergency Medicine Physician 207P00000X 125.076984 IL Primary

Addresses

Primary practice location

530 NE Glen Oak Ave BLDG 2624
Peoria, IL 61637-0001

Mailing address

5221 N Glen Elm Dr
Peoria Heights, IL 61616-5129
Phone (303) 601-4108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221108002034 IL Practitioner - Emergency Medicine 7113345752 Reassigns benefits to 5 organizations
I20260306003288 MI Practitioner - Emergency Medicine 7113345752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epmg of Michigan PCGroup PAC ID 4789596339, 108 clinicians

Practice addresses (Care Compare)

7575 Grand River Rd
Brighton, MI 48114-9309
Phone (954) 939-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.076984ILMDEmergency Medicine Physician
4301513372MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carle Health Medical Group Emergency Medicine CurrentSince Jan 1, 2026 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Dec 1, 2024 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Dec 1, 2024 Accepting new patients
Epmg of Michigan, P.C. Emergency Medicine CurrentSince Feb 15, 2026 Accepting new patients
Epss LLC - Central Series Emergency Medicine CurrentSince Jan 15, 2023 Accepting new patients
Epss Peoria LLC Emergency Medicine CurrentSince Jan 15, 2023 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Dec 1, 2024 Accepting new patients

Locations

2200 E Washington St
Bloomington, IL 61701
Phone (309) 661-5111

600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

5409 N Knoxville Ave
Peoria, IL 61614
Phone (309) 691-1000

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

7575 Grand River Rd
Brighton, MI 48114
Phone (810) 844-7544

5301 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-7246

Organizations & group practices 7

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 3

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": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1497384861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 N GLEN ELM DR",
            "city": "PEORIA HEIGHTS",
            "state": "IL",
            "postal_code": "616165129",
            "telephone_number": "303-601-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 NE GLEN OAK AVE BLDG 2624",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616370001",
            "telephone_number": "309-655-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "OWEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-07",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301513372",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "125.076984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.