Brian C Harrison (NPI# 1518920073, PAC ID# 5294797478) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1518920073 |
| PAC ID by PECOS | 5294797478 |
| Professional Enrollment ID | I20041029000890 |
| Full Name | Brian C Harrison |
| Organization Legal Name | SOUTHERN ILLINOIS MEDICAL SERVICES, NFP |
| Address |
203 Bailey Ln Suite 1 Benton IL 62812-1969 |
| Phone Number | 6184385670 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 2002 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3678677390 |
| Number of Group Practice Members | 325 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140011 | SOUTHERN ILLINOIS HOSPITAL SERVICES DBA HERRIN HOSPITAL |
| 141321 | FRANKLIN HOSPITAL |
| 140046 | SSM HEALTH - GOOD SAMARITAN HOSPITAL |
| 140164 | MEMORIAL HOSPITAL OF CARBONDALE |
| 140294 | CROSSROADS COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 203 Bailey Ln, Suite 1, Benton, IL 62812-1969 | 6184385670 | SOUTHERN ILLINOIS MEDICAL SERVICES, NFP |
| 312 E Main St, West Frankfort, IL 62896-2402 | 6199376200 | RCI WRS INC |
| Organization Legal Name | SOUTHERN ILLINOIS MEDICAL SERVICES, NFP |
| Physicians | 338 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ellie Marie Bentley | General Surgery | Southern Illinois Medical Services, Nfp | 220 S Park Ave, Suite 3, Herrin, IL 62948-3612 |
| Victor Cepeda | Infectious Disease | Southern Illinois Medical Services, Nfp | 3314 Patriot Ct, Herrin, IL 62948-3782 |
| Arsalan Salamat | General Surgery | Southern Illinois Medical Services, Nfp | 1237 E Main St, C1, Carbondale, IL 62901-3148 |
| Motaz R Wraikat | Undersea and Hyperbaric Medicine | Southern Illinois Medical Services, Nfp | 315 S 14th St, Suite 3, Herrin, IL 62948-3601 |
| Mohammed Lawan Gana Guba | Hospitalist | Southern Illinois Medical Services, Nfp | 201 S 14th St, Herrin, IL 62948-3631 |
| Kowsika Movva | Family Medicine | Southern Illinois Medical Services, Nfp | 207 W Jackson St, Suite 102, Carbondale, IL 62901-1408 |
| Hammad Shafqat | Hematology/oncology | Southern Illinois Medical Services, Nfp | 1400 Pin Oak Dr, Carterville, IL 62918-1600 |
| Whitney Celeste Mcguire | Nurse Practitioner | Southern Illinois Medical Services, Nfp | 405 Rushing Dr, Herrin, IL 62948-3730 |
| Jason Liang | Podiatry | Southern Illinois Medical Services, Nfp | 19 E Shawnee Dr, Suite 2, Murphysboro, IL 62966-7072 |
| Saad Ajmal | General Surgery | Southern Illinois Medical Services, Nfp | 317 S 14th St, Suite 1, Herrin, IL 62948-3673 |
| Street Address |
203 BAILEY LN SUITE 1 |
| City | BENTON |
| State | IL |
| Zip | 62812-1969 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Agnes Blanche Delaney | Physician Assistant | Southern Illinois Medical Services, Nfp | 203 Bailey Ln, Suite 1, Benton, IL 62812-1969 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donna S Spencer | Optometry | 711 N Main St, Benton, IL 62812-1017 | |
| David K Spencer | Optometry | 711 N Main St, Benton, IL 62812-1017 | |
| Dennis R Mcguire | Chiropractic | 805 N Main St, Benton, IL 62812-1019 | |
| Eric Weinbauer | Optometry | Marion Eye Centers Ltd | 1102 N Main St, Benton, IL 62812-1022 |
| Sheila A Sneddon | Optometry | Marion Eye Centers Ltd | 1102 N Main St, Benton, IL 62812-1022 |
| Darla J Spain | Nurse Practitioner | Physician Services Corporation of Southern Illinois Inc | 501 N Du Quoin St, Benton, IL 62812-1224 |
| Julie S Teel | Chiropractic | 509 W Main St, Benton, IL 62812-1328 | |
| Carmen J House | Chiropractic | 106 W Washington St, Benton, IL 62812-1337 | |
| Matthew L Morris | Occupational Therapy | Herron Rehab and Wellness Center, S.c. | 106 W Washington St, Benton, IL 62812-1337 |
| Kent A Herron | Chiropractic | Herron Rehab and Wellness Center, S.c. | 106 W Washington St, Benton, IL 62812-1337 |
| Find all physicians in zip 62812 | |||
| City | BENTON |
| Zip Code | 62812 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BENTON + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.