Jeremiah Brewer, DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036.162602 Issued in IL

Practice address

2507 Carrington Dr
Mansfield, TX 76063-4192

Phone

(817) 726-6083

NPI assigned

Apr 6, 2015

Last updated

May 14, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in TX, FL, IL, WI, GA, CO, MO, TN, LA, WY, UT, KS12 enrollments

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 12

Specialty

PsychiatryAlso: Neuropsychiatry, Neurosurgery

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.Group PAC ID 5597173088, 8 clinicians

Mindcare Solutions PCGroup PAC ID 2466779855, shared by 4 NPIs, 19 clinicians

Virtual Inpatient Psychiatry Physicians Behavioral Network LLCGroup PAC ID 6709124332, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations (25 of 44)

Networks

• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://epicproxy.et1254.epichosted.com/FHIRProxy/api/FHIR/R4/
• FHIR API: https://fhir.blessinghospital.com/R4/open-Prod
• Direct secure messaging: jbrewer232437@direct.luhs.org
• Direct secure messaging: jbrewer482238@direct-ehr-ssmhc.com
• Direct secure messaging: jbrewer54424@direct.conemaugh.org
• Direct secure messaging: jeremiah.brewerdo.p1@direct.cfg.nextgenshare.com

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.

• Mindcare Solutions of Texas PA

  • Psychiatry Physician
  • Austin, TX
  • NPI 1396290730
  Medicare reassignment Care Compare group NPD
• Virtual Inpatient Psychiatry Physicians Behavioral Network LLC

  • Psychiatry Physician
  • Deland, FL
  • NPI 1801385521
  Medicare reassignment Care Compare group NPD
• Sabine Valley Regional MHMR Center

  dba Community Healthcore

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Longview, TX
  • NPI 1639232002

  Psychiatry

  Medicare reassignment NPD
• Tri-County Behavioral Healthcare

  • Multi-Specialty Clinic/Center
  • Conroe, TX
  • NPI 1851333074
  Medicare reassignment NPD
• Aspen Valley Hospital Clinics, PLLC

  dba Aspen Valley Hospital Center for Medical Care

  • Multi-Specialty Clinic/Center
  • Aspen, CO
  • NPI 1003306168
  Medicare reassignment NPD
• Aspen Valley Hospital District

  • Critical Access Hospital
  • Aspen, CO
  • NPI 1518960814
  Medicare reassignment NPD
• Blessing Hospital

  • Multi-Specialty Clinic/Center
  • Quincy, IL
  • NPI 1114471737
  Medicare reassignment NPD
• CGH Medical Center

  • General Acute Care Hospital
  • Sterling, IL
  • NPI 1902854623
  Medicare reassignment NPD
• Mindcare Solutions PC

  • Psychiatry Physician
  • Nashville, TN
  • NPI 1457015091

  CO, LA, UT, WY

  Medicare reassignment NPD
• Mindcare Solutions PC

  • Psychiatry Physician
  • Roanoke, VA
  • NPI 1992503544

  KS, MO

  Medicare reassignment NPD
• SSM Health Care of Wisconsin Inc

  • Internal Medicine Physician
  • Baraboo, WI
  • NPI 1730160011
  Medicare reassignment NPD
• SSM Health Care St Louis

  dba SSM Health St Clare Fenton

  • Emergency Medicine Physician
  • Fenton, MO
  • NPI 1275586174
  Medicare reassignment NPD

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

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1679968697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2507 CARRINGTON DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634192",
            "telephone_number": "817-726-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 CARRINGTON DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634192",
            "telephone_number": "817-726-6083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2160 S 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Maywood",
            "state": "IL",
            "postal_code": "601533328",
            "country_code": "US",
            "telephone_number": "708-216-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20201 Crawford Ave",
            "address_purpose": "LOCATION",
            "city": "Olympia Fields",
            "state": "IL",
            "postal_code": "604611010",
            "country_code": "US",
            "telephone_number": "219-866-5141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "515 22nd Ave",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "WI",
            "postal_code": "535661569",
            "country_code": "US",
            "telephone_number": "608-324-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREWER",
        "first_name": "JEREMIAH",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-06",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "S2245",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "1825",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AR",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036.162602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbrewer232437@direct.luhs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2160 S 1st Ave",
            "city": "Maywood",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601533328",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "515 22nd Ave",
            "city": "Monroe",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535661569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbrewer482238@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "jbrewer482238@direct-ehr-ssmhc.com",
            "address_1": "515 22nd Ave",
            "city": "Monroe",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535661569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cindi Love Breazeale
• Breezy Psychiatry LLC
• Gregory Brennan, M.D.
• Bret W Sauders DDS, Inc
• Hailey Brewer
• Brighter Light Behavioral Health Services PLLC
• Courtney Briney
• Sade Briscoe, FNP-C
• Broad Park Dental PA
• Broad Park Family Dentistry

• Psychiatry Physician in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.