Organization Active NPI

Obstetrix Medical Group of Arizona

  • Obstetrics & Gynecology Physician
  • Tucson, AZ
National Provider Identifier
1093998270
Registry record updated Dec 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
22069 Issued in AZ
Legal business name
OBSTETRIX MEDICAL GROUP OF ARIZONA
Practice address
5170 E Glenn St
Suite 100
Tucson, AZ 85712-1396
Phone
(520) 290-0088
Fax
(520) 290-0087
NPI assigned
Dec 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Walter Harold Brewer Jr., MDNPI 1932279247
Title
Physician/Owner
Phone
(520) 290-0088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 22069 AZ Primary

Addresses

Primary practice location

5170 E Glenn St
Suite 100
Tucson, AZ 85712-1396

Mailing address

5170 E Glenn St
Suite 100
Tucson, AZ 85712-1396
Phone (520) 290-0088

National Provider Directory

National Provider Directory

Locations

380 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 290-0088

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323820800000",
    "number": "1093998270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5170 E GLENN ST",
            "address_2": "SUITE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121396",
            "telephone_number": "520-290-0088",
            "fax_number": "520-290-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5170 E GLENN ST",
            "address_2": "SUITE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121396",
            "telephone_number": "520-290-0088",
            "fax_number": "520-290-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBSTETRIX MEDICAL GROUP OF ARIZONA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2011-12-14",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "520-290-0088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "22069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.