Individual provider Active NPI

David K Brewer, M.D.

  • Diagnostic Radiology Physician
  • Scottsdale, AZ
National Provider Identifier
1194783514
Registry record updated Apr 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
18793 Issued in AZ
Practice address
7304 E Deer Valley Rd
Suite #105
Scottsdale, AZ 85255-7450
Phone
(480) 264-2400
Fax
(480) 264-2410
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 18793 AZ Primary

Addresses

Primary practice location

7304 E Deer Valley Rd
Suite #105
Scottsdale, AZ 85255-7450

Mailing address

PO Box 7368
Orange, CA 92863-7368
Phone (714) 571-5000

Other identifiers 3

IdentifierTypeStateIssuer
AZ0324990OtherAZBCBS
1Z7049OtherAZHEALTHNET
372988OtherAZAHCCCS

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16793AZMDPharmacist
22943IAMDPharmacist
18793AZMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Smi Imaging, LLC Diagnostic Radiology PastSince Apr 30, 2003 Accepting new patients
Simonmed Imaging, Incorporated Diagnostic Radiology Past Accepting new patients
Analytic Medical Imaging, LTD Diagnostic Radiology Past Accepting new patients
Arizona Diagnostic & Surgical Center, Inc Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271030400000",
    "number": "1194783514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7368",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928637368",
            "telephone_number": "714-571-5000",
            "fax_number": "714-571-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7304 E DEER VALLEY RD",
            "address_2": "SUITE #105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557450",
            "telephone_number": "480-264-2400",
            "fax_number": "480-264-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "DAVID",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2010-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "18793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0324990",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "1Z7049",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "372988",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; 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.