OrganizationActive
Crossroads Physician Corporation
NPI 1629063698 · Family Medicine Physician · Nashville, IL
Provider details
- NPI number
- 1629063698
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Debbie Brewer, Director of Provider Enrollment(615) 465-7626
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1245 S Mill St
Nashville, IL 62263-2004
Phone: (618) 327-9333
Fax: (618) 327-9022
Street-level locationGet directions
Mailing address
7100 Commerce Way
Brentwood, TN 37027-2829
Registry dates
- Enumerated
- 2005-09-15
- Last updated
- 2009-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.