Jeremiah Brewer, DO
Individual provider Active NPI Psychiatry Physician · Mansfield, TX
NPI 1679968697 · NPPES record last updated May 14, 2024
Key facts
- NPI
- 1679968697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 036.162602 (IL)
- Practice address
- 2507 Carrington Dr
Mansfield, TX 76063-4192 - Phone
- (817) 726-6083
- NPI assigned
- Apr 6, 2015
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 31
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- University of North Texas HSC, College of Osteopathic Med, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mindcare Solutions of Texas, P.a.
Mindcare Solutions PC
Virtual Inpatient Psychiatry Physicians Behavioral Network LLC
Practice addresses (Care Compare)
1005 E 32ND St
Austin, TX 78705-2713
Phone (330) 536-3746
101 Posey Ave
Clifton, TX 76634-1289
Phone (330) 536-3746
10500 Quivira Rd
Overland Park, KS 66215-2306
Phone (330) 536-3746
1200 E 3900
Salt Lake City, UT 84124-1300
Phone (330) 536-3746
12221 N Mopac Expy
Austin, TX 78758-2401
Phone (330) 536-3746
1501 S Potomac St
Aurora, CO 80012-5411
Phone (330) 536-3746
200 Henry Clay Ave
New Orleans, LA 70118-5720
Phone (330) 536-3746
2000 Scenic Dr
Georgetown, TX 78626-7726
Phone (330) 536-3746
201 14TH St
Wheatland, WY 82201-3201
Phone (330) 536-3746
2316 E Meyer Blvd
Kansas City, MO 64132-1136
Phone (330) 536-3746
2400 Round Rock Ave
Round Rock, TX 78681-4004
Phone (330) 536-3746
3801 N Lamar Blvd
Austin, TX 78756-4080
Phone (330) 536-3746
4031 Aspen Grove Dr
Suite 390
Franklin, TN 37067-3118
Phone (330) 536-3746
613 Victoria LN
Harlingen, TX 78550-0235
Phone (330) 536-3746
701 W Plymouth Ave
Deland, FL 32720-3236
Phone (330) 414-9233
8550 Huebner Rd
San Antonio, TX 78240-1803
Phone (330) 536-3746
901 W Ben White Blvd
Austin, TX 78704-6903
Phone (330) 536-3746
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (12 enrollments) in TX, FL, IL, WI, GA, CO, MO, TN, LA, WY, UT, KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210830002106 | TX | Practitioner - Psychiatry |
8426366378 | Reassigns benefits to 5 organizations |
| I20221013000764 | FL | Practitioner - Psychiatry | 8426366378 | Reassigns benefits to 1 organization |
| I20221221002344 | IL | Practitioner - Psychiatry | 8426366378 | Reassigns benefits to 4 organizations |
| I20230207002847 | WI | Practitioner - Psychiatry | 8426366378 | Reassigns benefits to 2 organizations |
| I20230626000306 | GA | Practitioner - Psychiatry | 8426366378 | Reassigns benefits to 1 organization |
| I20230823004556 | CO | Practitioner - Psychiatry | 8426366378 | Reassigns benefits to 3 organizations |
| I20230919001032 | MO | Practitioner - Psychiatry | 8426366378 | Reassigns benefits to 2 organizations |
| I20240304000789 | TN | Practitioner - Psychiatry | 8426366378 | Reassigns benefits to 1 organization |
| I20250620001770 | LA | Practitioner - Psychiatry | 8426366378 | Reassigns benefits to 1 organization |
| I20251124002245 | WY | Practitioner - Psychiatry | 8426366378 | Reassigns benefits to 1 organization |
| I20251212000535 | UT | Practitioner - Psychiatry | 8426366378 | Reassigns benefits to 1 organization |
| I20260120002903 | KS | Practitioner - Psychiatry | 8426366378 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1825 | WI | MD | Physical Therapy Assistant |
| 4287 | TN | MD | Massage Therapist |
Practice roles (27 of 28)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blessing Hospital | Current |
Accepting new patients | |
| Blessing Hospital | Current |
Accepting new patients | |
| Mindcare Solutions PC | Psychiatry | Current |
Accepting new patients |
| SSM Health Care St. Louis | Current |
Accepting new patients | |
| The Monroe Clinic, Inc. | Current |
Accepting new patients | |
| SSM Health Care St Louis | Current |
Accepting new patients | |
| Sabine Valley Regional MHMR Center | Psychiatry | Current | Accepting new patients |
| Thrive Counseling LLC | Current |
Accepting new patients | |
| CGH Medical Center | Current |
Accepting new patients | |
| Mindcare Solutions PC | Psychiatry | Current |
Accepting new patients |
| St. Mary'S Hospital, Centralia, Illinois | Current |
Accepting new patients | |
| Sabine Valley Regional MHMR Center | Current |
Accepting new patients | |
| Tri-County Behavioral Healthcare | Current |
Accepting new patients | |
| Virtual Inpatient Psychiatry Physicians Behavioral Network LLC | Psychiatry | Current |
Accepting new patients |
| Mindcare Solutions PC | Psychiatry | Current |
Accepting new patients |
| Aspen Valley Hospital District | Current |
Accepting new patients | |
| SSM Health Care of Wisconsin Inc | Current |
Accepting new patients | |
| Aspen Valley Hospital District | Current |
Accepting new patients | |
| SSM Health Care of Wisconsin, Inc. | Current |
Accepting new patients | |
| Good Samaritan Regional Health Center | Current |
Accepting new patients | |
| The Monroe Clinic, Inc. | Current |
Accepting new patients | |
| Aspen Valley Hospital Clinics, PLLC | Current |
Accepting new patients | |
| St. Mary'S Hospital, Centralia, Illinois | Current |
Accepting new patients | |
| CGH Medical Center | Current |
Accepting new patients | |
| Mindcare Solutions of Texas PA | Psychiatry | Current |
Accepting new patients |
| Aspen Valley Hospital District Clinics | Current |
Accepting new patients | |
| Tri-State Memorial Hospital | Past | Accepting new patients |
Locations (25 of 44)
401 Castle Creek Rd
Aspen, CO 81611
Phone (970) 544-1192
1460 E Valley Rd
Ste 103
Basalt, CO 81621
Phone (970) 279-4111
1501 S Potomac St
Denver, CO 80012
Phone (303) 695-2604
720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589
701 W Plymouth Ave
Deland, FL 32720
Phone (386) 943-3160
425 W Colonial Dr
Ste 302
Orlando, FL 32804
Phone (330) 414-9233
1 Adventhealth Way
Palm Coast, FL 32137
Phone (330) 414-9233
8800 Roswell Rd
Ste A135
Sandy Springs, GA 30350
Phone (617) 395-5806
400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221
7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155
7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189
7153 Solutions Ctr
Chicago, IL 60677
1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600
1005 Broadway St
Quincy, IL 62301
100 E Lefevre Rd
Sterling, IL 61081
Phone (815) 625-0400
1809 Locust St
Sterling, IL 61081
Phone (815) 564-4002
100 E College Dr
Colby, KS 67701
Phone (785) 462-7511
10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565
1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511
200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860
615 W Nursery St
Butler, MO 64730
Phone (660) 200-2004
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000
2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360
300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211
Networks
- Freedom Health HMO Network
Interoperability endpoints
- jbrewer54424@direct.conemaugh.org
- https://fhir.blessinghospital.com/R4/open-Prod
- https://epicproxy.et1254.epichosted.com/FHIRProxy/api/FHIR/R4/
- jeremiah.brewerdo.p1@direct.cfg.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | S2245 | TX | |
| Psychiatry Physician | 2084P0800X | 1825 | WI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | AR | ||
| Psychiatry Physician | 2084P0800X | 036.162602 | IL | Yes |
Addresses
Primary practice location
2507 Carrington Dr
Mansfield, TX 76063-4192
Mailing address
2507 Carrington Dr
Mansfield, TX 76063-4192
Phone (817) 726-6083
Other practice location 1
2160 S 1st Ave
Maywood, IL 60153-3328
Phone (708) 216-9000
Other practice location 2
20201 Crawford Ave
Olympia Fields, IL 60461-1010
Phone (219) 866-5141
Other practice location 3
515 22nd Ave
Monroe, WI 53566-1569
Phone (608) 324-1000
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jbrewer232437@direct.luhs.org | Direct | |
| FHIR URL | https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/ | Other | |
| Direct Messaging Address | jbrewer482238@direct-ehr-ssmhc.com | Direct |
Other providers in Mansfield, TX
- Cindi Love Breazeale
- Breezy Psychiatry LLC
- Gregory Brennan
- Bret W Sauders DDS, Inc
- Hailey Brewer
- Brighter Light Behavioral Health Services PLLC
- Courtney Briney
- Sade Briscoe
- Broad Park Dental PA
- Broad Park Family Dentistry
All providers in Mansfield, TX · Psychiatry Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.