Individual provider Active NPI

Evan Bradlee Brewer, CRNP

  • Family Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1548908874
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11019443 Issued in FL
Practice address
3610 Springhill Memorial Dr N
Mobile, AL 36608-1162
Phone
(251) 410-3600
NPI assigned
May 25, 2022
Last updated
Jul 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220825003174 FL Practitioner - Nurse Practitioner 0941684823 Reassigns benefits to 7 organizations
I20250827003157 AL Practitioner - Nurse Practitioner 0941684823 Reassigns benefits to 1 organization

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
Wound Care Physicians of Tampa Bay LLCGroup PAC ID 6002344272, 8 clinicians
Heal Precisely of Northside LLCGroup PAC ID 9537544853, 10 clinicians
Beaton Podiatry Center IncGroup PAC ID 1557274107, 10 clinicians

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

LicenseStateTypeSpecialty
1-263328ALMDFamily Nurse Practitioner
APRN11019443FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heal Precisely of Northside LLC CurrentSince Mar 1, 2024 Accepting new patients
Healing Headquarters Inc Family CurrentSince Jul 16, 2025 Accepting new patients
Wound Care Physicians of Tampa Bay LLC CurrentSince Jan 1, 2025 Accepting new patients
Beaton Podiatry Center Inc CurrentSince Nov 25, 2025 Accepting new patients
John G Symeonides M D LLC CurrentSince Dec 23, 2023 Accepting new patients
Saberi Advanced Wound Care LLC CurrentSince Mar 1, 2024 Accepting new patients
Heal Precisely of Tampa Bay LLC CurrentSince Mar 1, 2024 Accepting new patients
Adventhealth Primary Care Network Inc Family Past Accepting new patients
Florida Hospital Healthcare Partners, Inc PastSince Jul 17, 2022 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

  • FHIR API: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.