Individual provider Active NPI

Brent Wayne Schwarm, M.D.

  • Internal Medicine Physician
  • Vandalia, IL
National Provider Identifier
1932104296
Registry record updated Apr 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036086476 Issued in IL
Practice address
650 W Taylor St
Vandalia, IL 62471-1227
Phone
(618) 283-1231
NPI assigned
Jun 14, 2005
Last updated
Apr 29, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036086476 IL Primary

Addresses

Primary practice location

650 W Taylor St
Vandalia, IL 62471-1227

Mailing address

650 W Taylor St
Vandalia, IL 62471-1227
Phone (618) 283-1231

Other identifiers 1

IdentifierTypeStateIssuer
036086476MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080602000502 IL Practitioner - Internal MedicinePractitioner - Hospitalist 4789595299 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036086476ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Illinois, LLC Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
Union Hospital Inc. Current Accepting new patients
Physician Services Corporation of Southern Illinois Inc. Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients

Locations

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

611 S Marshall Ave
Mc Leansboro, IL 62859
Phone (618) 542-2146

2 Good Samaritan Way
Ste 320
Mount Vernon, IL 62864
Phone (618) 899-1944

4103 N Water Tower Pl
Mount Vernon, IL 62864
Phone (618) 899-3500

8 Doctors Park Rd
Mount Vernon, IL 62864
Phone (618) 244-5500

1600 W Walnut St
South Jacksonville, IL 62650
Phone (217) 245-7275

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

Interoperability endpoints

  • Direct secure messaging: bschwarm@unionhealth.cernerdirect.com
  • Direct secure messaging: bschwarm@yourcarecommunity.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398729600000",
    "number": "1932104296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 W TAYLOR ST",
            "city": "VANDALIA",
            "state": "IL",
            "postal_code": "624711227",
            "telephone_number": "618-283-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 W TAYLOR ST",
            "city": "VANDALIA",
            "state": "IL",
            "postal_code": "624711227",
            "telephone_number": "618-283-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARM",
        "first_name": "BRENT",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2014-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036086476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036086476",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vandalia, IL

Sources for this page

Verify at the official NPI Registry.