Individual provider Active NPI

John Brewington III, MD

  • Family Medicine Physician
  • Redlands, CA
National Provider Identifier
1295357416
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A186349 Issued in CA
Practice address
1901 W Lugonia Ave Ste 120
Redlands, CA 92374-9704
Phone
(909) 557-1600
Fax
(909) 557-1740
NPI assigned
May 11, 2020
Last updated
Nov 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A186349 CA Primary

Addresses

Primary practice location

1901 W Lugonia Ave Ste 120
Redlands, CA 92374-9704

Mailing address

1901 W Lugonia Ave Ste 120
Redlands, CA 92374-9704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20231010001113 CA Practitioner - Family Practice 6709231897 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1901 W Lugonia Ave
Suite 120 130
Redlands, CA 92374-9703
Phone (909) 557-1600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A186349CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Bernardino CurrentSince Dec 17, 2023 Accepting new patients
County of San Bernardino Current Accepting new patients
San Bernardino Medical Orthopaedic Group, Inc. CurrentSince Oct 1, 2023 Accepting new patients
San Bernardino Medical Orthopaedic Group, Inc. CurrentSince Oct 1, 2023 Accepting new patients
County of San Bernardino CurrentSince Dec 17, 2023 Accepting new patients
San Bernardino Medical Orthopaedic Group, Inc. Past Accepting new patients

Locations

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1400

400 N Pepper Ave
Ste 301
Colton, CA 92324
Phone (909) 580-3366

1798 N Garey Ave
Pomona, CA 91767
Phone (909) 865-9810

1801 Orange Tree Ln
Ste 240
Redlands, CA 92374

1901 W Lugonia Ave
Ste 120
Redlands, CA 92374
Phone (909) 557-1626

1901 W Lugonia Ave
Ste 310
Redlands, CA 92374
Phone (909) 793-2964

2131 Elks Dr
Ste 200
San Bernardino, CA 92404
Phone (909) 726-6100

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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": "1589155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1295357416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 W LUGONIA AVE STE 120",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923749704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 W LUGONIA AVE STE 120",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923749704",
            "telephone_number": "909-557-1600",
            "fax_number": "909-557-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWINGTON",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-11",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A186349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

Verify at the official NPI Registry.