Active NPI
Matthew Randel Brewer, DDS
- Dentist
- Opelika, AL
National Provider Identifier
1316625346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D.007221-C1
- Practice address
- 1610 2ND Ave
Opelika, AL 36801-5618 - Phone
- (334) 745-6295
- NPI assigned
- Jul 10, 2023
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | D.007221-C1 | AL | Primary |
Addresses
Primary practice location
1610 2ND Ave
Opelika, AL 36801-5618
Mailing address
831 S Gay St
Auburn, AL 36830-5944
Phone (804) 698-0508
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D.007221-C1 | AL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abigail N Adams DMD LLC | Current | Accepting new patients | |
| Robert W DMD Huskey | Dentist | Past | Accepting new patients |
Locations
134 1st St SE
Lafayette, AL 36862
Phone (334) 864-8808
1610 2nd Ave
Opelika, AL 36801
Phone (334) 745-6295
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 and National Provider Directory roles.
-
- Dental Clinic/Center
- Opelika, AL
- NPI 1437672961
-
- Dentist
- Opelika, AL
- NPI 1003205089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688947200000",
"number": "1316625346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "831 S GAY ST",
"city": "AUBURN",
"state": "AL",
"postal_code": "368305944",
"telephone_number": "804-698-0508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1610 2ND AVE",
"city": "OPELIKA",
"state": "AL",
"postal_code": "368015618",
"telephone_number": "334-745-6295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWER",
"first_name": "MATTHEW",
"middle_name": "RANDEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-10",
"last_updated": "2023-07-10",
"certification_date": "2023-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AL",
"license": "D.007221-C1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Opelika, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.