Individual provider Active NPI

Deborah R Brower, CRNP

  • Family Nurse Practitioner
  • Prince Frederick, MD
National Provider Identifier
1225011992
Registry record updated May 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R126934 Issued in MD
Practice address
489 Main St
Suite 102
Prince Frederick, MD 20678-3187
Phone
(410) 414-5633
Fax
(410) 414-5911
NPI assigned
Nov 27, 2005
Last updated
May 12, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R126934 MD Primary

Addresses

Primary practice location

489 Main St
Suite 102
Prince Frederick, MD 20678-3187

Mailing address

489 Main St
Suite 102
Prince Frederick, MD 20678-3187
Phone (410) 414-5633

Other identifiers 2

IdentifierTypeStateIssuer
000215100MedicaidMD
512809900MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040923001282 MD Practitioner - Nurse Practitioner 9739157942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bayside Primary Care LLCGroup PAC ID 6800806159, 3 clinicians

Practice addresses (Care Compare)

489 Main St
Suite 102
Prince Frederick, MD 20678-3188
Phone (410) 414-5633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Calvert Health Ventures Inc Past Accepting new patients
Frederick Health Hospital Inc Past 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": "1133049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463011200000",
    "number": "1225011992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 MAIN ST",
            "address_2": "SUITE 102",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783187",
            "telephone_number": "410-414-5633",
            "fax_number": "410-414-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 MAIN ST",
            "address_2": "SUITE 102",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783187",
            "telephone_number": "410-414-5633",
            "fax_number": "410-414-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWER",
        "first_name": "DEBORAH",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-27",
        "last_updated": "2016-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R126934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000215100",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "512809900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

Verify at the official NPI Registry.