Individual provider Active NPI

Cheryl Ann Brewer, M.D.

  • Gynecologic Oncology Physician
  • Las Vegas, NV
National Provider Identifier
1467631838
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
12923 Issued in NV
Practice address
2931 N Tenaya Way
Suite 202
Las Vegas, NV 89128-0456
Phone
(702) 802-3700
Fax
(702) 802-3702
NPI assigned
Nov 1, 2007
Last updated
Jan 5, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD432900 PA
Gynecology Physician 207VG0400X MD432900 PA
Obstetrics Physician 207VX0000X MD432900 PA
Gynecologic Oncology Physician 207VX0201X MD432900 PA
Gynecologic Oncology Physician 207VX0201X 12923 NV Primary

Addresses

Primary practice location

2931 N Tenaya Way
Suite 202
Las Vegas, NV 89128-0456

Mailing address

2931 N Tenaya Way
Ste 202
Las Vegas, NV 89128-0458
Phone (702) 802-3700

Other identifiers 2

IdentifierTypeStateIssuer
FZ851AOtherNVMEDICARE PTAN
BL067WOtherNVINDIVIDUAL MEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20090312000610 NV Practitioner - Obstetrics/GynecologyPractitioner - Gynecological Oncology 9032004692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Indiana University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2931 N Tenaya Way
Suite 202
Las Vegas, NV 89128-0458
Phone (702) 802-3700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD432900PAMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Cheryl Ann Brewer PC Gynecologic Oncology CurrentSince Feb 3, 2012 Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients

Locations

2931 N Tenaya Way
Ste 202
Las Vegas, NV 89128
Phone (702) 410-5288

Interoperability endpoints

  • Direct secure messaging: cbrewer13222@direct.umcsn.com

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.

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": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1467631838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2931 N TENAYA WAY",
            "address_2": "STE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280458",
            "telephone_number": "702-802-3700",
            "fax_number": "702-802-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2931 N TENAYA WAY",
            "address_2": "SUITE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280456",
            "telephone_number": "702-802-3700",
            "fax_number": "702-802-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "CHERYL",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-01",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD432900",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "PA",
            "license": "MD432900",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "PA",
            "license": "MD432900",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "PA",
            "license": "MD432900",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "NV",
            "license": "12923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "FZ851A",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL MEDICARE PTAN",
            "identifier": "BL067W",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.