Individual provider Active NPI

James Earl Brewster, DO

  • Orthopaedic Surgery Physician
  • Draper, UT
National Provider Identifier
1407248990
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
12203799-1204 Issued in UT
Practice address
96 E Kimballs LN Ste 207
Draper, UT 84020-5025
Phone
(801) 576-2300
NPI assigned
Feb 20, 2015
Last updated
May 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 12203799-1204 UT Primary

Addresses

Primary practice location

96 E Kimballs LN Ste 207
Draper, UT 84020-5025

Mailing address

PO Box 100253
Atlanta, GA 30384-0253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20210929001731 UT Practitioner - Orthopedic SurgeryPractitioner - Thoracic Surgery 9537435607 Reassigns benefits to 2 organizations
Practice locations: Salt Lake City, UT

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mountainstar Specialty Services LLCGroup PAC ID 4688767551, 30 clinicians

Practice addresses (Care Compare)

96 E Kimballs LN
Suite 207
Draper, UT 84020-5021
Phone (801) 568-5972

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion285
Laminectomy or laminotomy (partial removal of spine bones)133

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mountainstar Specialty Services LLC CurrentSince Jun 9, 2025 Accepting new patients
Rock Creek Neurosurgery, LLC CurrentSince Aug 1, 2022 Accepting new patients
Mountainstar Medical Group-St. Marks Hospital, LLC PastSince May 25, 2025 Accepting new patients

Locations

96 E Kimballs Ln
Ste 207
Draper, UT 84020
Phone (801) 568-5972

15 S 1000 E
Ste 225
Payson, UT 84651
Phone (801) 465-2511

8846 S Redwood Rd
Ste 121
West Jordan, UT 84088
Phone (801) 545-8480

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1845
  • Direct secure messaging: jamesbrewster@rcn.gwaydirect.com

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1424390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1407248990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100253",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303840253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 E KIMBALLS LN STE 207",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840205025",
            "telephone_number": "801-576-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWSTER",
        "first_name": "JAMES",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-20",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "UT",
            "license": "12203799-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

Verify at the official NPI Registry.