Individual provider Active NPI

Ryan Cole Brewer, D.C.

  • Chiropractor
  • Show Low, AZ
National Provider Identifier
1508931528
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7695 Issued in AZ
Practice address
581 E Old Linden Rd
Show Low, AZ 85901-4825
Phone
(928) 537-2600
Fax
(928) 337-3291
NPI assigned
Nov 22, 2006
Last updated
Jun 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7695 AZ Primary

Addresses

Primary practice location

581 E Old Linden Rd
Show Low, AZ 85901-4825

Mailing address

581 E Old Linden Rd
Show Low, AZ 85901-4825
Phone (928) 537-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070104000092 AZ Practitioner - Chiropractic 5698717254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1200 W Cleveland St
Suite 6
St Johns, AZ 85936-2578
Phone (928) 337-3125

PO Box
Suite 2578
Saint Johns, AZ 85936-2578

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7695AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Brewer Chiropractic LLC CurrentSince Jan 1, 2013 Accepting new patients
Billy Creek Clinic Past Accepting new patients
First Chiropractic - Oracle LLC Chiropractor Past Accepting new patients

Locations

520 W Deuce of Clubs
Show Low, AZ 85901

581 E Old Linden Rd
Show Low, AZ 85901
Phone (928) 537-2600

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.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1508931528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "581 E OLD LINDEN RD",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859014825",
            "telephone_number": "928-537-2600",
            "fax_number": "928-337-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 E OLD LINDEN RD",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859014825",
            "telephone_number": "928-537-2600",
            "fax_number": "928-337-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "RYAN",
        "middle_name": "COLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Show Low, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.