Ernest Maytum Brees, P.A.-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

000754 Issued in IA

Practice address

417 S East St
Suite #100
Corydon, IA 50060-1860

Phone

(641) 872-2063

Fax

(641) 872-2070

NPI assigned

Dec 13, 2005

Last updated

Oct 31, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Wayne Family Medical Center, Inc.

  dba South Central Iowa Medical Clinic

  • Family Medicine Physician
  • Corydon, IA
  • NPI 1861586810
  NPD (past)

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1417932385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 S WEST ST",
            "city": "CORYDON",
            "state": "IA",
            "postal_code": "500601749",
            "telephone_number": "641-872-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 S EAST ST",
            "address_2": "SUITE #100",
            "city": "CORYDON",
            "state": "IA",
            "postal_code": "500601860",
            "telephone_number": "641-872-2063",
            "fax_number": "641-872-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREES",
        "first_name": "ERNEST",
        "middle_name": "MAYTUM",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "000754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aspectu, LLC (Clark Eye Center)
• Joel Len Baker, DO
• Linda Baldwin, DO
• Melissa Burbridge
• C and J Quality Jobs LLC
• Care Initiatives (Corydon Specialty Care)
• Charles A Clark, OD
• Kevin G Comer, LMSW

• Medical Physician Assistant in Corydon, IA
• Providers in Corydon, IA by specialty
• Medical Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.