NPIMap

Organization Active NPI

Ford Brewer, MD, Inc

  • General Practice Physician
  • Mountain View, CA
National Provider Identifier
1356628390
Registry record updated Jul 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
FORD BREWER, MD, INC
Practice address
1010 Joaquin Rd
Mountain View, CA 94043-1242
Phone
(650) 253-8476
NPI assigned
Nov 4, 2011
Organization subpart
Yes
Parent organization
CHS HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 7, 2016

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

Authorized official

Name
Stuart Clark
Title
Executive VP
Phone
(703) 760-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1010 Joaquin Rd
Mountain View, CA 94043-1242

Mailing address

5500 Maryland Way
Suite 400
Brentwood, TN 37027-4948

Other names 1

  • Google Wellness Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ford Brewer MD Inc11 organizations share this tax ID, including this one
Part of
Google Wellness Center 321

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1010 Joaquin Rd
Mountain View, CA 94043
Phone (510) 402-8829

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467849600000",
    "number": "1356628390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MARYLAND WAY",
            "address_2": "SUITE 400",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 JOAQUIN RD",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940431242",
            "telephone_number": "650-253-8476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORD BREWER, MD, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHS HEALTH SERVICES",
        "enumeration_date": "2011-11-04",
        "last_updated": "2016-07-07",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "EXECUTIVE VP",
        "authorized_official_telephone_number": "703-760-0700"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Google Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.