Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Reginald A Ebirim, MD

Individual provider Family Medicine Physician · NPI 1396702957

Reginald A Ebirim, MD is a Family Practice in New London, Wisconsin. Graduated from Illinois Medical College in 2002, 24 years ago. Practices with Rockford Health Physicians, a 521-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Wisconsin.

Years since qualifying
24
Trained at
Illinois Medical College
Licensed in
IL, WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1405 Mill St
New London, WI 54961-2155
Phone: (920) 531-2000
Fax: (920) 531-2098
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 650 W Columbia, Arthur, IL 61911 — (217) 543-3869

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 68084 (WI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 036113328 (IL)

Record details

NPI number1396702957
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 27, 2006
Last updated in NPPESMarch 17, 2018
Mailing address2670 Lake Reunion Rd, Decatur, IL 62521-8407

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesEMERGENCY MEDICINE, INTERNAL MEDICINE, OBSTETRICS/GYNECOLOGY
Medical schoolILLINOIS MEDICAL COLLEGE
Graduated 2002 (24 years in practice)
Group practice Rockford Health Physicians — 521 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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