NPIMap

Organization Active NPI

Ford Brewer MD, Inc

  • General Practice Physician
  • Fremont, CA
National Provider Identifier
1639599160
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
FORD BREWER MD, INC
Practice address
45500 Fremont Blvd
Fremont, CA 94538-6326
Phone
(510) 249-3694
NPI assigned
Apr 23, 2014
Organization subpart
Yes
Parent organization
CHS HEALTH SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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

Authorized official

Name
Stuart Clark
Title
Executive VP
Phone
(615) 577-4927

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

45500 Fremont Blvd
Fremont, CA 94538-6326

Mailing address

5500 Maryland Way Ste 200
Brentwood, TN 37027-4973

Other names 1

  • Tesla Fremont Medical Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ford Brewer MD Inc11 organizations share this tax ID, including this one
Part of
Google Wellness Center 321

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

45500 Fremont Blvd
Fremont, CA 94538
Phone (510) 249-3694

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1639599160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MARYLAND WAY STE 200",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45500 FREMONT BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945386326",
            "telephone_number": "510-249-3694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORD BREWER MD, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHS HEALTH SERVICES, LLC",
        "enumeration_date": "2014-04-23",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "EXECUTIVE VP",
        "authorized_official_telephone_number": "615-577-4927"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tesla Fremont Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.