Active NPI
Ruth E. Brouwer, PA-C
- Physician Assistant
- Ocala, FL
National Provider Identifier
1588699672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA3128
- Practice address
- 2415 SE 17TH St
Ocala, FL 34471-2618 - Phone
- (352) 732-5365
- Fax
- (352) 732-5372
- NPI assigned
- Jul 11, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 004469 | GA | |
| Physician Assistant | 363A00000X | PA3128 | FL | Primary |
Addresses
Primary practice location
2415 SE 17TH St
Ocala, FL 34471-2618
Mailing address
2405 SE 17TH St
201
Ocala, FL 34471-9192
Phone (352) 690-2171
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 292526500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004469 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ocala Health Primary Care LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Ocala, FL
- NPI 1720398456
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236038400000",
"number": "1588699672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2405 SE 17TH ST",
"address_2": "201",
"city": "OCALA",
"state": "FL",
"postal_code": "344719192",
"telephone_number": "352-690-2171",
"fax_number": "352-690-6954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2415 SE 17TH ST",
"city": "OCALA",
"state": "FL",
"postal_code": "344712618",
"telephone_number": "352-732-5365",
"fax_number": "352-732-5372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROUWER",
"first_name": "RUTH",
"middle_name": "E.",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2009-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "004469",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA3128",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "292526500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.