NPIMap

Individual provider Active NPI

Vernon Dwayne Brewer, D.O.

  • Family Medicine Physician
  • Richmond, KY
National Provider Identifier
1558524199
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
03335 Issued in KY
Practice address
103 Alycia Dr
Richmond, KY 40475-2368
Phone
(859) 624-6515
Fax
(859) 624-6514
NPI assigned
Jul 3, 2008
Last updated
Sep 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 03335 KY Primary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 03335 KY

Addresses

Primary practice location

103 Alycia Dr
Richmond, KY 40475-2368

Mailing address

103 Alycia Dr
Richmond, KY 40475-2368
Phone (859) 624-6515

Other identifiers 1

IdentifierTypeStateIssuer
7100198310MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120103000537 KY Practitioner - Family Practice 0547436131 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palliative Care Center of the Bluegrass Inc.Group PAC ID 8820981731, 21 clinicians
H2 Rehabilitation Services of Kentucky, LLCGroup PAC ID 5799682688, shared by 7 NPIs, 187 clinicians
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

1733 Harrodsburg Rd
Lexington, KY 40504-3617
Phone (859) 276-5344

193 Glades Rd
Berea, KY 40403-2261
Phone (859) 956-1055

789 Eastern Bypass
Suite 23
Richmond, KY 40475-2421
Phone (606) 523-8521

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Palliative Care Center of the Bluegrass Inc. Family Medicine CurrentSince Jul 16, 2012 Accepting new patients
Baptist Physicians Lexington, Inc Past Accepting new patients
Baptist Physicians Lexington, Inc Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

1733 Harrodsburg Rd
Lexington, KY 40504
Phone (859) 276-5344

2312 Alexandria Dr
Lexington, KY 40504
Phone (859) 276-5344

Organizations & group practices 5

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": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1558524199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 ALYCIA DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752368",
            "telephone_number": "859-624-6515",
            "fax_number": "859-624-6514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 ALYCIA DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752368",
            "telephone_number": "859-624-6515",
            "fax_number": "859-624-6514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "VERNON",
        "middle_name": "DWAYNE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "03335",
            "primary": true
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "KY",
            "license": "03335",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100198310",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

Verify at the official NPI Registry.