Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891768636 Individual Practitioner Male Practitioner

Dr. Brian Bostwick , MD

Pediatrics • Springfield, IL

Professional Overview & Biography Verified Profile Summary

Dr. Brian Bostwick, MD is a registered healthcare professional specializing in Pediatrics in Springfield, IL. Practice services are available at 301 N 8TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

301 N 8th St
Pav 4a

Springfield, IL 62702

Telephone 2175458000
Fax 2175452303
Associated Practice Facility / Clinic
🏢 Pavilion Pharmacy Llc Facility NPI 1851362230

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Springfield, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.1 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
109 Specialists

Practicing in Springfield, IL (3277 Statewide)

Telehealth Adoption Rate
1.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-10-20
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IL 036106503

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License IL 036106503

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
036106503 (IL)
Commercial Insurance / Payer ID Bcbs
07215036 (IL)
Commercial Insurance / Payer ID John Deere
IL0104 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Amanda Henson , LCSW

Social Worker - Clinical

NPI 1003247115

Licensed Clinical Social Worker

Dr. Fadel Bofarrag , MD, MPH

Internal Medicine - Cardiovascular Disease

NPI 1003291279

Doctor of Medicine (M.D.), Master of Public Health

Jerry Priddy , PA-C

Physician Assistant

NPI 1003351115

Physician Assistant (Certified)

Dr. Ashley Mohan , DO

Internal Medicine - Hematology & Oncology

NPI 1003377565

Doctor of Osteopathic Medicine (D.O.)

Dr. Linda Ponce Rosas , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1003501065

Doctor of Medicine (M.D.)

Jay Benoit

Nurse Practitioner - Family

NPI 1003579335

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location May 10, 2018

Registered at 301 N 8TH ST, PAV 4A, SPRINGFIELD, IL 62702 (Tel: 2175458000)

NPI Profile Active August 19, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location August 19, 2010

Registered at 1 ILLINI DR, PEORIA, IL 616052576 (Tel: 3096718504)

📍
Updated Business Mailing Address August 19, 2010

Registered at 530 NE GLEN OAK AVE, PEORIA, IL 616370001 (Tel: 3096553292)

👤
Provider Name / Credentials Updated August 19, 2010

Recorded as BRIAN BOSTWICK, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2010

Internal Medicine (License #036106503 in IL)

🟢
Initial NPI Registration & Enumeration February 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891768636
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 10, 2006
Last Update: October 20, 2020
Sole Proprietor: No

Mailing Address

530 Ne Glen Oak Ave

Peoria, IL 616370001

Phone: 3096553292

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.