DR. ROBERT JUDSON BREWER (M.D.) – Surgery Physician, NPI 1457355315

DR. ROBERT JUDSON BREWER (M.D.) is a healthcare provider. based in Herrin, Illinois. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 23499 (KY). The NPI Number for DR. ROBERT JUDSON BREWER (M.D.) is 1457355315

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBERT JUDSON BREWER (M.D.)
NPI
1457355315
Phone
(618) 942-2002
Address
220 S PARK AVE
Enumeration Date
9 June 2005
Last Update Date
12 January 2015

Doctor Profile

Medical School Name
LOUISVILLE MEDICAL COLLEGE
Secondary Phone
-
Graduation Year
1983 (43 years ago)
PAC ID
2264532662
Group Practice PAC ID
0446140180
Professional Enrollment ID
I20240320002084
Address ID
IL614553313MA525XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:21State licenses:2Digital endpointsOther names

1,422 GENERAL SURGERY in IL

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Provider Addresses for DR. ROBERT JUDSON BREWER (M.D.)

  • 220, South Park Avenue, Herrin, Williamson County, Illinois, 62948, United States

    3RD FLOOR

    HERRIN, IL 629483612

    Phone: (618) 942-2002

    Fax: (618) 351-6497

    Type: Location

  • PO BOX 1105

    INDIANAPOLIS, IN 462061105

    Phone: (618) 549-5361

    Fax: (618) 549-5128

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070714000085IGeneral SurgeryILTBD
I20240320002084IGeneral SurgeryKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62948)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446140180View full group profile
NameSpecialtyState
-IL
Nurse PractitionerIL
Certified Registered Nurse Anesthetist (Crna)IL
General SurgeryIL
-TN
A N E S T H E S I O L O G YIA
Physician AssistantIL
-IL
Internal Medicine, Cardiovascular Disease (Cardiology), Cardiovascular Disease (Cardiology)WI
Nurse PractitionerIL

Reviews

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Frequently asked questions

Can I cross-check DR. ROBERT JUDSON BREWER (M.D.) using NPI 1457355315?
NPI 1457355315 belongs to DR. ROBERT JUDSON BREWER (M.D.); compare other details if you need extra assurance.
Is DR. ROBERT JUDSON BREWER (M.D.) still an active registrant?
DR. ROBERT JUDSON BREWER (M.D.) carries an active NPI according to the public dataset.
What area of care is associated with DR. ROBERT JUDSON BREWER (M.D.)?
DR. ROBERT JUDSON BREWER (M.D.)'s record emphasizes Surgery Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. ROBERT JUDSON BREWER (M.D.)?
Directory geography for DR. ROBERT JUDSON BREWER (M.D.) centers on Herrin, Illinois.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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