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Crossroads Physician Corp

Family Medicine Physician in Mount Vernon, IL · enumerated 2005 · authorized official Debbie Brewer, Director of Provider Enrollment.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1699769612

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Registry record

Entity type Organization (Type 2)
Legal business name Crossroads Physician Corp
Other name <Unavail>
Parent organization Crossroads Physician Corp
Practice address 209 Crossroads Pl, Suite 150, Mount Vernon, IL, 62864
Phone (618) 244-6222
Fax (618) 244-7299
Enumeration date Sep 6, 2005
Last updated in NPPES Sep 18, 2007

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Debbie Brewer
Title Director of Provider Enrollment
Phone (615) 465-7626

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Crossroads Physician Corp?
The NPI for Crossroads Physician Corp is 1699769612, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Crossroads Physician Corp?
NPPES lists Debbie Brewer (Director of Provider Enrollment) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-09-18.