Organization Active NPI

Dr Cheryl Ann Brewer PC

  • Gynecologic Oncology Physician
  • Las Vegas, NV
National Provider Identifier
1154694909
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
12923 Issued in NV
Legal business name
DR CHERYL ANN BREWER PC
Practice address
2931 N Tenaya Way Ste 202
Las Vegas, NV 89128-0458
Phone
(702) 410-5822
Fax
(702) 485-5018
NPI assigned
Feb 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Authorized official

Name
Cheryl Ann Brewer, MDNPI 1467631838
Title
President
Phone
(702) 410-5822

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
Gynecologic Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VX0201X 12923 NV Primary

Addresses

Primary practice location

2931 N Tenaya Way Ste 202
Las Vegas, NV 89128-0458

Mailing address

2931 N Tenaya Way Ste 202
Las Vegas, NV 89128-0458
Phone (702) 410-5822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120504000412 NV Part B Supplier - Clinic/Group Practice 9739341934 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1328745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1154694909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2931 N TENAYA WAY STE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280458",
            "telephone_number": "702-410-5822",
            "fax_number": "702-485-5018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2931 N TENAYA WAY STE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280458",
            "telephone_number": "702-410-5822",
            "fax_number": "702-485-5018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CHERYL ANN BREWER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-09",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-410-5822",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "NV",
            "license": "12923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.