Individual provider Active NPI

David Russell Brear

  • Ophthalmology Physician
  • Culpeper, VA
National Provider Identifier
1174548382
Registry record updated Jan 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101037434 Issued in VA
Practice address
633 Sunset LN Ste E
Culpeper, VA 22701-3942
Phone
(540) 825-3655
Fax
(540) 825-5574
NPI assigned
Jul 12, 2006
Last updated
Jan 30, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0101037434 VA Primary

Addresses

Primary practice location

633 Sunset LN Ste E
Culpeper, VA 22701-3942

Mailing address

633 Sunset LN Ste E
Culpeper, VA 22701-3942
Phone (540) 825-3655

Other identifiers 1

IdentifierTypeStateIssuer
006300081MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100920000663 VA Practitioner - Ophthalmology 5496651978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
74.21 of 100Reported as individual
Quality
95
Improvement activities
40
Cost
20.69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101037434VAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Retina Consultants, PLC Past Accepting new patients
Eyedeal, Inc. PastSince Apr 11, 2011 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359504000000",
    "number": "1174548382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 SUNSET LN STE E",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227013942",
            "telephone_number": "540-825-3655",
            "fax_number": "540-825-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 SUNSET LN STE E",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227013942",
            "telephone_number": "540-825-3655",
            "fax_number": "540-825-5574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREAR",
        "first_name": "DAVID",
        "middle_name": "RUSSELL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2013-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101037434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006300081",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Culpeper, VA

Sources for this page

Verify at the official NPI Registry.