Active NPI
Robert A Brewer Jr., DDS
- General Practice Dentistry
- Barnesville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 18487
- Practice address
- 100 Hospital Dr
Barnesville, OH 43713-1098 - Phone
- (740) 239-6447
- NPI assigned
- Jan 11, 2006
- Last updated
- Sep 9, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150409002289 | OH | Order and Referring Only - Dentist | 1557687407 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18487 | OH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Monroe Family Health Center | Federally qualified health center | W-2 Managing Employee | Dec 1, 2021 |
| Ohio Hills Health Services | 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.
-
- Federally Qualified Health Center (FQHC)
- Bellaire, OH
- NPI 1740009455
Other
-
dba Monroe Family Health Center
- Federally Qualified Health Center (FQHC)
- Woodsfield, OH
- NPI 1871534677
W-2 Managing Employee
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.
-
dba Ohio Hills Health Center Quaker City
- Federally Qualified Health Center (FQHC)
- Quaker City, OH
- NPI 1245586254
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.