Individual provider Active NPI

William Dennison Brewster Jr.

  • Internal Medicine Physician
  • Lexington, KY
National Provider Identifier
1194429175
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
06157 Issued in KY
Practice address
800 Rose St
Lexington, KY 40536-7001
Phone
(859) 323-5083
Fax
(859) 323-8056
NPI assigned
Mar 27, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 06157 KY
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 06157 KY Primary

Addresses

Primary practice location

800 Rose St
Lexington, KY 40536-7001

Mailing address

800 Rose St
Lexington, KY 40536-7001
Phone (859) 323-5083

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20250619000978 KY Practitioner - Emergency Medicine 5092247346 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Philadelphia College of Osteopathic Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harrison Memorial HospitalGroup PAC ID 4284784067, 60 clinicians
Concord Company of Tennessee PLLCGroup PAC ID 0345588109, 68 clinicians
Emergency Medicine Specialists SCGroup PAC ID 8729975461, 220 clinicians

Practice addresses (Care Compare)

1210 Ky Hwy 36 E
Cynthiana, KY 41031-7490
Phone (859) 235-3562

309 11TH St
Carrollton, KY 41008-1435
Phone (502) 732-4321

5000 W Chambers St
Milwaukee, WI 53210-1650
Phone (414) 447-2000

Hospital & facility affiliations

  • Harrison Memorial Hospital Hospital, Cynthiana, KY, CCN 180079
  • Carroll County Memorial Hospital Hospital, Carrollton, KY, CCN 181310
  • Ascension Columbia St Marys Hospital Milwaukee Hospital, Milwaukee, WI, CCN 520051
  • Ascension All Saints Hospital Hospital, Racine, WI, CCN 520096

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06157KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group of Kentucky PLLC Emergency Medicine CurrentSince May 1, 2025 Accepting new patients
Green Valley Emergency Physicians, LLC Emergency Medicine CurrentSince Jul 1, 2025 Accepting new patients
Harrison Memorial Hospital Inc CurrentSince Feb 4, 2026 Accepting new patients
Concord Company of Tennessee PLLC Emergency Medicine CurrentSince Apr 6, 2025 Accepting new patients

Locations

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

309 11th St
Carrollton, KY 41008
Phone (502) 732-3241

1210 KY Highway 36 E
Cynthiana, KY 41031
Phone (859) 234-2300

910 Wallace Ave
Leitchfield, KY 42754
Phone (270) 259-3035

210 Marie Langdon Dr
Manchester, KY 40962
Phone (865) 985-7047

1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444

5000 Ky Route 321
Ste 4149
Prestonsburg, KY 41653

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1194429175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROSE ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405367001",
            "telephone_number": "859-323-5083",
            "fax_number": "859-323-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROSE ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405367001",
            "telephone_number": "859-323-5083",
            "fax_number": "859-323-8056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWSTER",
        "first_name": "WILLIAM",
        "middle_name": "DENNISON",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-27",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "06157",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "06157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.