Active NPI
David Richard Brewer, RD, LD
- Registered Dietitian
- Columbus, OH
National Provider Identifier
1083004238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 7504
- Practice address
- 1180 E Main St
Columbus, OH 43205-1902 - Phone
- (614) 645-5535
- Fax
- (614) 645-5546
- NPI assigned
- Jan 27, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 7504 | OH | Primary |
Addresses
Primary practice location
1180 E Main St
Columbus, OH 43205-1902
Mailing address
1800 Watermark Dr
Suite 420
Columbus, OH 43215-1048
Phone (614) 645-5500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7504 | OH | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432252800000",
"number": "1083004238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 WATERMARK DR",
"address_2": "SUITE 420",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432151048",
"telephone_number": "614-645-5500",
"fax_number": "614-458-1849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1180 E MAIN ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432051902",
"telephone_number": "614-645-5535",
"fax_number": "614-645-5546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWER",
"first_name": "DAVID",
"middle_name": "RICHARD",
"credential": "RD, LD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-27",
"last_updated": "2015-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "7504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.