Individual provider Active NPI

Robert A Brewer Jr., DDS

  • General Practice Dentistry
  • Barnesville, OH
National Provider Identifier
1295714046
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18487 Issued in OH
Practice address
100 Hospital Dr
Barnesville, OH 43713-1098
Phone
(740) 239-6447
NPI assigned
Jan 11, 2006
Last updated
Sep 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 18487 OH Primary

Addresses

Primary practice location

100 Hospital Dr
Barnesville, OH 43713-1098

Mailing address

1840 Zollinger Rd
Columbus, OH 43221-2850
Phone (614) 457-3927

Other practice location 1

1840 Zollinger Rd
Columbus, OH 43221-2850
Phone (614) 457-3927

Other practice location 2

110 W Main Street
Freeport, OH 43973-4397
Phone (740) 239-6447

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address robert.brewer@ohhs.eclinicaldirectplus.com
Direct Messaging Address robert.brewer@ohhs.eclinicaldirectplus.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150409002289 OH Order and Referring Only - DentistPractitioner - Dentist 1557687407

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18487OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Arlington - Bryan Basom DDS LLC Past Accepting new patients
Ohio Hills Health Services Past Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Monroe Family Health CenterWoodsfield, OH, CCN 361829 Federally qualified health center W-2 Managing Employee Dec 1, 2021
Ohio Hills Health ServicesBellaire, OH, CCN D21077 Federally qualified health center Other Jan 13, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1295714046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 ZOLLINGER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212850",
            "telephone_number": "614-457-3927",
            "fax_number": "614-457-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL DR",
            "city": "BARNESVILLE",
            "state": "OH",
            "postal_code": "437131098",
            "telephone_number": "740-239-6447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1840 Zollinger Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432212850",
            "country_code": "US",
            "telephone_number": "614-457-3927",
            "fax_number": "614-457-0668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 W Main Street",
            "address_purpose": "LOCATION",
            "city": "Freeport",
            "state": "OH",
            "postal_code": "439734397",
            "country_code": "US",
            "telephone_number": "740-239-6447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREWER",
        "first_name": "ROBERT",
        "middle_name": "A",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2021-09-09",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "18487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "robert.brewer@ohhs.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "100 Hospital Dr",
            "city": "Barnesville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "437131098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "robert.brewer@ohhs.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "110 W Main Street",
            "city": "Freeport",
            "state": "OH",
            "country_code": "US",
            "postal_code": "439734397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Barnesville, OH

Sources for this page

Verify at the official NPI Registry.