Serena Zephyr Brewer, D.O
Individual provider Active NPI Family Medicine Physician · Butte, MT
NPI 1487853404 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1487853404
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 11723 (MT)
- Practice address
- 445 Centennial Ave
Butte, MT 59701-2870 - Phone
- (406) 723-4075
- NPI assigned
- Jul 11, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 11
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Butte Silver Bow Primary Health Care Clinic Inc
Practice addresses (Care Compare)
445 Centennial Ave
Butte, MT 59701-2870
Phone (406) 723-4075
Hospital & facility affiliations
- Compassus Home Health - Butte
- Enhabit Home Health
- St James Hospital
- Community Hospital of Anaconda
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081209000756 | MT | Practitioner - Family Practice | 4880763804 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A9694 | CA | MD | Family Medicine Physician |
| 11723 | MT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Butte Silver Bow Primary Health Care Clinic Inc | Current | Accepting new patients |
Locations
445 Centennial Ave
Butte, MT 59701
Phone (406) 723-4075
Interoperability endpoints
- sbrewer100196@direct.ochin.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A9694 | CA | |
| Family Medicine Physician | 207Q00000X | 11723 | MT | Yes |
Addresses
Primary practice location
445 Centennial Ave
Butte, MT 59701-2870
Mailing address
445 Centennial Ave
Butte, MT 59701-2870
Phone (406) 723-4075
Other providers in Butte, MT
- Dave Boyd
- James Douglas Bozeman
- Sara Rachel Brackett
- Michelle Lee Bradley
- William Dennis Brennick
- Brian Komm DPM PC
- Megan Bristol
- David Kirk Brower
- Annah Brown
- Kendra Brown
All providers in Butte, MT · Family Medicine Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.