Active NPI
Evan Bradlee Brewer, CRNP
- Family Nurse Practitioner
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11019443
- Practice address
- 3610 Springhill Memorial Dr N
Mobile, AL 36608-1162 - Phone
- (251) 410-3600
- NPI assigned
- May 25, 2022
- Last updated
- Jul 13, 2022
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11019443 | FL | Primary |
| Family Nurse Practitioner | 363LF0000X | 1-263328 | AL |
Addresses
Primary practice location
3610 Springhill Memorial Dr N
Mobile, AL 36608-1162
Mailing address
901 Sterthaus Dr
Ormond Beach, FL 32174-5133
Phone (251) 406-1168
Other practice location 1
60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (386) 586-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Tampa, FL 33616
Phone (386) 290-6317
5800 49TH St N
St Petersburg, FL 33709-2146
Phone (727) 306-8790
5880 49TH St N
Suite N 201
St Petersburg, FL 33709-2150
Phone (727) 300-0405
6707 38TH Ave N
St Petersburg, FL 33710-1536
Phone (727) 896-4615
7170 Sunset LN
Theodore, AL 36582-8080
Phone (251) 202-3209
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-263328 | AL | MD | Family Nurse Practitioner |
| APRN11019443 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heal Precisely of Northside LLC | Current | Accepting new patients | |
| Healing Headquarters Inc | Family | Current | Accepting new patients |
| Wound Care Physicians of Tampa Bay LLC | Current | Accepting new patients | |
| Beaton Podiatry Center Inc | Current | Accepting new patients | |
| John G Symeonides M D LLC | Current | Accepting new patients | |
| Saberi Advanced Wound Care LLC | Current | Accepting new patients | |
| Heal Precisely of Tampa Bay LLC | Current | Accepting new patients | |
| Adventhealth Primary Care Network Inc | Family | Past | Accepting new patients |
| Florida Hospital Healthcare Partners, Inc | Past | Accepting new patients |
Locations
145 Cypress Point Pkwy
Ste 105
Palm Coast, FL 32164
Phone 3862385654901
5880 49th St N
Ste N201
St Petersburg, FL 33709
Phone (727) 300-0405
5880 49th St N
Ste N203
St Petersburg, FL 33709
Phone (727) 300-0405
6707 38th Ave N
St Petersburg, FL 33710
Phone (727) 800-9958
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 10
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.
-
- Foot & Ankle Surgery Podiatrist
- St Petersburg, FL
- NPI 1366626541
-
- General Practice Physician
- St Petersburg, FL
- NPI 1093433674
-
- Wound Care Registered Nurse
- St Petersburg, FL
- NPI 1245056522
-
- Family Medicine Physician
- Mobile, AL
- NPI 1174411193
-
- Family Medicine Physician
- St Petersburg, FL
- NPI 1588348262
-
- Family Medicine Physician
- Palm Coast, FL
- NPI 1508802604
-
- Family Medicine Physician
- St Petersburg, FL
- NPI 1578264818
-
- General Practice Physician
- Tampa, FL
- NPI 1457177222
-
- Family Medicine Physician
- Altamonte Springs, FL
- NPI 1093493637
-
- Internal Medicine Physician
- Daytona Beach, FL
- NPI 1780100529
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1700979465
-
dba Medi Home Health Agency
- Home Health Agency
- Pensacola, FL
- NPI 1568415099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657670400000",
"number": "1548908874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 STERTHAUS DR",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321745133",
"telephone_number": "251-406-1168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3610 SPRINGHILL MEMORIAL DR N",
"city": "MOBILE",
"state": "AL",
"postal_code": "366081162",
"telephone_number": "251-410-3600"
}
],
"practiceLocations": [
{
"address_1": "60 Memorial Medical Pkwy",
"address_purpose": "LOCATION",
"city": "Palm Coast",
"state": "FL",
"postal_code": "32164",
"country_code": "US",
"telephone_number": "386-586-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BREWER",
"first_name": "EVAN",
"middle_name": "BRADLEE",
"name_prefix": "Mr.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-25",
"last_updated": "2022-07-13",
"certification_date": "2022-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11019443",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-263328",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.