OrganizationActive
Crossroads Physician Corp
NPI 1750375770 · Family Medicine Physician · Benton, IL
Provider details
- NPI number
- 1750375770
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Crossroads Physician Corp
- Organization subpart
- Yes
- Authorized official
- Debbie Brewer, Director of Provider Enrollment(615) 465-7626
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
320 N Main St
Suite a
Benton, IL 62812-1313
Phone: (618) 439-6370
Fax: (618) 439-6490
Street-level locationGet directions
Mailing address
320 N Main St
Benton, IL 62812-1313
Other names (DBA / former)
- Doing business as
- Crossroads Family Medicine of Benton
Registry dates
- Enumerated
- 2005-09-06
- Last updated
- 2007-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.