Individual provider Active NPI

Bryan Daniel Brewer, M.D.

  • Surgery Physician
  • Irving, TX
National Provider Identifier
1487865457
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
P0172 Issued in TX
Practice address
7200 N Highway 161 Ste 120
Irving, TX 75039-3800
Phone
(214) 838-7171
Fax
(214) 838-7172
NPI assigned
May 24, 2007
Last updated
Apr 12, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X P0172 TX Primary

Addresses

Primary practice location

7200 N Highway 161 Ste 120
Irving, TX 75039-3800

Mailing address

7200 N Highway 161 Ste 120
Irving, TX 75039-3800
Phone (214) 838-7171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20111110000092 TX Practitioner - General Surgery 3870766769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New You Bariatric Center PAGroup PAC ID 0648547349, 2 clinicians

Practice addresses (Care Compare)

1151 N Buckner Blvd
Suite 308
Dallas, TX 75218-3405
Phone (214) 838-7171

8144 Walnut Hill LN
Suite 450
Dallas, TX 75231-0906

9440 Poppy Dr
Dallas, TX 75218-3652
Phone (214) 838-7171

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New You Bariatric Center, PA Surgery CurrentSince May 1, 2017 Accepting new patients

Locations

1151 N Buckner Blvd
Ste 308
Dallas, TX 75218
Phone (214) 838-7171

8144 Walnut Hill Ln
Ste 450
Dallas, TX 75231
Phone (214) 346-0602

7200 State Highway 161
Ste 120
Irving, TX 75039
Phone (214) 838-7171

Organizations & group practices 1

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 2

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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1487865457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 N HIGHWAY 161 STE 120",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750393800",
            "telephone_number": "214-838-7171",
            "fax_number": "214-838-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 N HIGHWAY 161 STE 120",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750393800",
            "telephone_number": "214-838-7171",
            "fax_number": "214-838-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "BRYAN",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "P0172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.