Active NPI
Molly Brewer, MD
- Gynecologic Oncology Physician
- Farmington, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- MD61485708
- Practice address
- 263 Farmington Ave
Uconn Medical Group/Neag Cancer Center
Farmington, CT 06030-0001 - Phone
- (860) 679-2100
- Fax
- (860) 679-4815
- NPI assigned
- Feb 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecologic Oncology Physician | 207VX0201X | 044786 | CT | |
| Gynecologic Oncology Physician | 207VX0201X | MD61485708 | WA | Primary |
Addresses
Primary practice location
263 Farmington Ave
Uconn Medical Group/Neag Cancer Center
Farmington, CT 06030-0001
Mailing address
263 Farmington Ave
Provider Enrollment
Farmington, CT 06030-2212
Phone (860) 679-7503
Other practice location 1
3200 Squalicum Pkwy
Bellingham, WA 98225-1932
Phone (360) 752-5280
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447863 | Medicaid | CT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mbrewer9282@direct.med.uchc.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241126001878 | WA | Practitioner - Gynecological Oncology | 1254339807 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Gynecological Oncology
- Education
- State University of Ny Upstate Medical University, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Peacehealth
Practice addresses (Care Compare)
3200 Squalicum Pkwy
Bellingham, WA 98225-1932
Phone (360) 752-5280
Hospital & facility affiliations
- Peacehealth St Joseph Medical Center
- John Dempsey Hospital of the University of Connect
- Peacehealth United General Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044786 | CT | MD | Gynecologic Oncology Physician |
Practice roles (2 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth | Current | Accepting new patients | |
| University of Connecticut Health Center | Past | Accepting new patients |
Locations
3200 Squalicum Pkwy
Bellingham, WA 98225
Phone (360) 671-4944
3015 Squalicum Pkwy
Ste 100
Bellingham, WA 98225
Phone (360) 715-4186
1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253
Networks
- devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
- WA PPO C-SNP
Interoperability endpoints
- mbrewer9282@direct.med.uchc.edu
- mbrewer680988@direct.peacehealth.org
- mbrewer18394@middlesexhealthprd.direct-ci.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ambulatory Surgical Clinic/Center
- Bellingham, WA
- NPI 1396990701
-
- Community Based Hospice Care Agency
- Bellingham, WA
- NPI 1447217559
-
- General Acute Care Hospital
- Bellingham, WA
- NPI 1689677320
-
- Clinical Medical Laboratory
- Farmington, CT
- NPI 1427031293
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Middletown, CT
- NPI 1154263713
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732233600000",
"number": "1013989615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 FARMINGTON AVE",
"address_2": "PROVIDER ENROLLMENT",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060302212",
"telephone_number": "860-679-7503",
"fax_number": "860-679-1610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "263 FARMINGTON AVE",
"address_2": "UCONN MEDICAL GROUP/NEAG CANCER CENTER",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060300001",
"telephone_number": "860-679-2100",
"fax_number": "860-679-4815"
}
],
"practiceLocations": [
{
"address_1": "3200 Squalicum Pkwy",
"address_purpose": "LOCATION",
"city": "Bellingham",
"state": "WA",
"postal_code": "982251932",
"country_code": "US",
"telephone_number": "360-752-5280",
"fax_number": "360-756-4804",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BREWER",
"first_name": "MOLLY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-07",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "CT",
"license": "044786",
"primary": false
},
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "WA",
"license": "MD61485708",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1447863",
"state": "CT"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mbrewer9282@direct.med.uchc.edu",
"affiliation": "N",
"address_1": "Uconn Medical Group",
"address_2": "263 Farmington Avenue",
"city": "Farmington",
"state": "CT",
"country_code": "US",
"postal_code": "060300001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Farmington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.