Bruce A Sobko, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

03679529 Issued in IL

Practice address

1201 Pine St
Eldorado, IL 62930-1634

Phone

(618) 273-3361

Fax

(618) 273-2571

NPI assigned

Jan 3, 2006

Last updated

Feb 18, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Central Illinois Neuroradiology, LTD

  • Specialist
  • Bloomington, IL
  • NPI 1881641371

  Multi-Specialty

  NPD (past)
• Granite City Illinois Hospital Company LLC

  dba Gateway Urgent Care

  • Urgent Care Clinic/Center
  • Glen Carbon, IL
  • NPI 1417353087

  Multi-Specialty

  NPD (past)
• Midwest Emergency Good Samaritan, Inc

  • Emergency Medicine Physician
  • Mount Vernon, IL
  • NPI 1629367578

  Multi-Specialty

  NPD (past)
• Midwest Emergency Sparta, Inc

  • Emergency Medicine Physician
  • Sparta, IL
  • NPI 1194162370

  Multi-Specialty

  NPD (past)
• Prairie Emergency Group, LTD.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Normal, IL
  • NPI 1538184114

  Multi-Specialty

  NPD (past)
• Sterling Emergency Physicians of Illinois, S.C

  • Emergency Medicine Physician
  • Mount Vernon, IL
  • NPI 1295975837

  Multi-Specialty

  NPD (past)
• Eye Microsurgery, LTD.

  • Ophthalmology Physician
  • Saint Louis, MO
  • NPI 1730207994

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1740268648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3276",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477313276",
            "telephone_number": "812-473-0181",
            "fax_number": "812-473-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 PINE ST",
            "city": "ELDORADO",
            "state": "IL",
            "postal_code": "629301634",
            "telephone_number": "618-273-3361",
            "fax_number": "618-273-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBKO",
        "first_name": "BRUCE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "03679529",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "03679529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan E Sigler, FNP
• Aleza Sitarz
• Dorothy Smith, RN
• Gerald Smith II
• Melody Jo Smith
• Southern Illinois Family Dentistry LLC
• Patricia Stacey, LPN
• Darling Staley, RN
• Thomas Ray Stanford
• Zachary David Stearns, B.S., B.A.

• Internal Medicine Physician in Eldorado, IL
• Providers in Eldorado, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.