Active NPI
Carol Myrick-Brewer, MD
- Pain Medicine (Anesthesiology) Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- ME0067348
- Practice address
- 7171 N Dale Mabry Hwy
Tampa, FL 33614-2630 - Phone
- (352) 867-8898
- Fax
- (352) 732-6282
- NPI assigned
- Oct 2, 2006
- Last updated
- Jan 15, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | ME0067348 | FL | Primary |
Addresses
Primary practice location
7171 N Dale Mabry Hwy
Tampa, FL 33614-2630
Mailing address
PO Box 862810
Orlando, FL 32886-2810
Phone (352) 867-8898
Other practice location 1
118 Northport Ave
Belfast, ME 04915-6009
Phone (207) 301-8000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 377862200 | Medicaid | FL | |
| P00029518 | Other | FL | RAILROAD MEDICARE |
| 27093 | Other | FL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0067348 | FL | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwood Anesthesia Associates LLC | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Northwood Anesthesia Associates LLC | Current | Accepting new patients | |
| North Pinellas Anesthesia Associates, PA | Pain Medicine | Past | Accepting new patients |
Locations
3291 N McMullen Booth Rd
Clearwater, FL 33761
Phone (727) 725-5800
7171 N Dale Mabry Hwy
Tampa, FL 33614
Phone (813) 558-8001
1395 S Pinellas Ave
Tarpon Springs, FL 34689
Phone (727) 942-5000
1350 E Venice Ave
Venice, FL 34285
Phone (941) 484-2030
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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Pain Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610668800000",
"number": "1225121445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 862810",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328862810",
"telephone_number": "352-867-8898",
"fax_number": "352-732-6282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7171 N DALE MABRY HWY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336142630",
"telephone_number": "352-867-8898",
"fax_number": "352-732-6282"
}
],
"practiceLocations": [
{
"address_1": "118 Northport Ave",
"address_purpose": "LOCATION",
"city": "Belfast",
"state": "ME",
"postal_code": "049156009",
"country_code": "US",
"telephone_number": "207-301-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MYRICK-BREWER",
"first_name": "CAROL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2021-01-15",
"certification_date": "2021-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "FL",
"license": "ME0067348",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "377862200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00029518",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "27093",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.