Individual provider Active NPI

Daniel E McBrayer, M.D.

  • Adult Medicine Physician
  • Bremen, GA
National Provider Identifier
1285725887
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
18697 Issued in GA
Practice address
306 Laurel St Ste C
Bremen, GA 30110
Phone
(770) 537-1266
Fax
(770) 537-1700
NPI assigned
Sep 27, 2006
Last updated
Sep 5, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X GA
Adult Medicine Physician 207QA0505X 18697 GA Primary

Addresses

Primary practice location

306 Laurel St Ste C
Bremen, GA 30110

Mailing address

306 Laurel St Ste C
Bremen, GA 30110
Phone (770) 537-1266

Other identifiers 1

IdentifierTypeStateIssuer
G036870281OtherPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20180815002661 GA Practitioner - Obstetrics/Gynecology 4981756293 Practice locations: Bremen, GA

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical College of Georgia School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

306 Laurel St
Suite C
Bremen, GA 30110-2124
Phone (770) 537-1266

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: alphafamilypractice.danielemcbrayer@136686.advancedmd-direct.com

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1285725887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 LAUREL ST STE C",
            "city": "BREMEN",
            "state": "GA",
            "postal_code": "30110",
            "telephone_number": "770-537-1266",
            "fax_number": "770-537-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 LAUREL ST STE C",
            "city": "BREMEN",
            "state": "GA",
            "postal_code": "30110",
            "telephone_number": "770-537-1266",
            "fax_number": "770-537-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRAYER",
        "first_name": "DANIEL",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "GA",
            "license": "18697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "G036870281",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremen, GA

Sources for this page

Verify at the official NPI Registry.