Active NPI
Daniel Grant Brewer, D.O.
- Pediatrics Physician
- Show Low, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 007286
- Practice address
- 4951 S White Mountain Rd BLDG a
Show Low, AZ 85901-7827 - Phone
- (928) 537-6700
- Fax
- (928) 532-2147
- NPI assigned
- May 13, 2014
- Last updated
- Apr 12, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 007286 | AZ | Primary |
Addresses
Primary practice location
4951 S White Mountain Rd BLDG a
Show Low, AZ 85901-7827
Mailing address
4951 S White Mountain Rd BLDG a
Show Low, AZ 85901-7827
Phone (928) 537-6700
Other practice location 1
3601 4th St
Lubbock, TX 79430-0002
Phone (806) 743-6630
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007286 | AZ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Healthcare Medical Associates | Current | Accepting new patients | |
| Summit Healthcare Association | Current | Accepting new patients | |
| Summit Healthcare Medical Associates | Pediatrics | Current | Accepting new patients |
| Summit Healthcare Association | Past | Accepting new patients |
Locations
1401 W Florida St
Holbrook, AZ 86025
Phone (928) 251-0386
2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375
3401 S White Mountain Rd
Ste E
Show Low, AZ 85901
Phone (928) 537-6792
4951 S White Mountain Rd
Bldg A
Show Low, AZ 85901
Phone (928) 537-6700
5171 S Cub Lake Rd
Ste B230
Show Low, AZ 85901
Phone (928) 537-3500
5300 S Sutter Dr
Ste 1
Show Low, AZ 85901
Phone (928) 532-7546
Interoperability endpoints
- danielbrewer@shrmcshma.allscriptsdirect.net
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Summit Healthcare Pediatrics | Rural health clinic | W-2 Managing Employee | Aug 1, 2017 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Rural Health Clinic/Center
- Show Low, AZ
- NPI 1942701693
W-2 Managing Employee
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Show Low, AZ
- NPI 1467878108
Pediatrics
-
dba Summit Healthcare Regional Medical Center
- Rural Acute Care Hospital
- Show Low, AZ
- NPI 1144209271
-
- Rural Health Clinic/Center
- Eagar, AZ
- NPI 1063166999
-
dba Summit Healthcare Oncology Center
- Oncology Clinic/Center
- Show Low, AZ
- NPI 1083736128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712880000000",
"number": "1538570536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4951 S WHITE MOUNTAIN RD BLDG A",
"city": "SHOW LOW",
"state": "AZ",
"postal_code": "859017827",
"telephone_number": "928-537-6700",
"fax_number": "928-532-2147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4951 S WHITE MOUNTAIN RD BLDG A",
"city": "SHOW LOW",
"state": "AZ",
"postal_code": "859017827",
"telephone_number": "928-537-6700",
"fax_number": "928-532-2147"
}
],
"practiceLocations": [
{
"address_1": "3601 4th St",
"address_purpose": "LOCATION",
"city": "Lubbock",
"state": "TX",
"postal_code": "794300002",
"country_code": "US",
"telephone_number": "806-743-6630",
"fax_number": "806-743-1599",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BREWER",
"first_name": "DANIEL",
"middle_name": "GRANT",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-13",
"last_updated": "2024-04-12",
"certification_date": "2024-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "007286",
"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 Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.