Individual provider Active NPI

Elizabeth Brewer, M.D.

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1700268158
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R5370 Issued in TX
Practice address
122 W Colorado Blvd
Dallas, TX 75208-2382
Phone
(214) 947-6700
Fax
(214) 947-6701
NPI assigned
Jun 22, 2015
Last updated
Aug 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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 R5370 TX Primary

Addresses

Primary practice location

122 W Colorado Blvd
Dallas, TX 75208-2382

Mailing address

122 W Colorado Blvd
Dallas, TX 75208-2382
Phone (214) 947-6700

Other practice location 1

341 Wheatfield Dr Ste 100
Sunnyvale, TX 75182-4639
Phone (972) 285-0221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190916001416 TX Practitioner - Internal Medicine 0042519381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical School at San Antonio, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Associates of Southwest DallasGroup PAC ID 3274519293, 37 clinicians

Practice addresses (Care Compare)

122 W Colorado Blvd
Dallas, TX 75208-2382
Phone (214) 947-6700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Associates of Southwest Dallas Internal Medicine CurrentSince Sep 12, 2022 Accepting new patients

Locations

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

122 W Colorado Blvd
Dallas, TX 75208
Phone (214) 947-6555

Interoperability endpoints

  • Direct secure messaging: ebrewer6679@dm.mhd.com

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 1

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": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1700268158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 W COLORADO BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752082382",
            "telephone_number": "214-947-6700",
            "fax_number": "214-947-6701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W COLORADO BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752082382",
            "telephone_number": "214-947-6700",
            "fax_number": "214-947-6701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "341 Wheatfield Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Sunnyvale",
            "state": "TX",
            "postal_code": "751824639",
            "country_code": "US",
            "telephone_number": "972-285-0221",
            "fax_number": "972-285-0223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREWER",
        "first_name": "ELIZABETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R5370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.