Individual provider Active NPI

David Brouwer, MD

  • Internal Medicine Physician
  • Newport Beach, CA
National Provider Identifier
1629018544
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G74779 Issued in CA
Practice address
361 Hospital Rd Ste 322
Newport Beach, CA 92663-3524
Phone
(949) 574-0777
Fax
(949) 650-3505
NPI assigned
Jun 8, 2006
Last updated
Nov 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G74779 CA Primary

Addresses

Primary practice location

361 Hospital Rd Ste 322
Newport Beach, CA 92663-3524

Mailing address

PO Box 3088
Suisun City, CA 94585-6088
Phone (657) 241-3600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100322000446 CA Practitioner - Internal Medicine 7214062801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
George Washington University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Newport Beach Medical AssociatesGroup PAC ID 5890878235, 6 clinicians

Practice addresses (Care Compare)

361 Hospital Rd
Suite 322
Newport Beach, CA 92663-3524
Phone (949) 574-0777

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.3 of 100Reported as individual
Quality
77.56
Improvement activities
40
Cost
67.57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G74779CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newport Beach Medical Associates Internal Medicine CurrentSince Oct 1, 1998 Accepting new patients

Locations

361 Hospital Rd
Ste 322
Newport Beach, CA 92663
Phone (949) 574-0777

Interoperability endpoints

  • Direct secure messaging: david.brouwer.p6@direct.nautilus.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, 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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1629018544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3088",
            "city": "SUISUN CITY",
            "state": "CA",
            "postal_code": "945856088",
            "telephone_number": "657-241-3600",
            "fax_number": "657-241-7720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 HOSPITAL RD STE 322",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633524",
            "telephone_number": "949-574-0777",
            "fax_number": "949-650-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUWER",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G74779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.