Brock A Phillips, MD
Individual provider Active NPI Pediatrics Physician · Chatham, IL
NPI 1710407002 · NPPES record last updated Mar 27, 2026
Key facts
- NPI
- 1710407002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 036152530 (IL)
- Practice address
- 125 E Plummer Blvd Ste a
Chatham, IL 62629-8136 - Phone
- (314) 454-6006
- NPI assigned
- Jun 27, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- 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 |
|---|---|---|---|---|
| I20200715000613 | IL | Practitioner - Pediatric Medicine | 2668895228 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036152530 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HSHS Medical Group Inc | Current | Accepting new patients | |
| HSHS Medical Group Inc | Current |
Accepting new patients | |
| HSHS Medical Group Inc | Current |
Accepting new patients | |
| HSHS Medical Group Inc | Past |
Accepting new patients |
Locations
125 E Plummer Blvd
Chatham, IL 62629
Phone (217) 483-3333
125 E Plummer Blvd
Ste A
Chatham, IL 62629
Phone (217) 483-3333
1900 E Lake Shore Dr
Ste 330
Decatur, IL 62521
Phone (217) 423-2889
3051 Hollis Dr
Fl 2
Springfield, IL 62704
Phone (217) 321-9321
Interoperability endpoints
- bphillips288943@ewd.direct.hshs.org
- driect@direct.musc.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036152530 | IL | Yes |
Addresses
Primary practice location
125 E Plummer Blvd Ste a
Chatham, IL 62629-8136
Mailing address
1952 Long Grove Dr Ste 202
Mount Pleasant, SC 29464-7579
Phone (843) 573-2535
Other practice location 1
1952 Long Grove Dr Ste 202
Mount Pleasant, SC 29464-7579
Phone (843) 573-2535
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | driect@direct.musc.edu | Health Information Exchange (HIE) | |
| Direct Messaging Address | bphillips288943@ewd.direct.hshs.org | Direct |
Other providers in Chatham, IL
- Johanna Loretta O'Brien
- Rachel Elizabeth Olson
- Lindsay Orsi
- Mitesh Patel
- Katherine E Perko
- Ashleigh Plowman
- Emily Postelmans
- Priority Mental Health LLC
- R&M Phillips Investments, LLC - Chatham MC Operations Series
- Barry B Reichart
All providers in Chatham, IL · Pediatrics 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 Mar 27, 2026. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.