Active NPI
Daniel E McBrayer, M.D.
- Adult Medicine Physician
- Bremen, GA
National Provider Identifier
1285725887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 18697
- 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, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G036870281 | Other | PTAN |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; 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.