Individual provider Active NPI

Bond Olivia Brewster, PA-C

  • Physician Assistant
  • Concord Township, OH
National Provider Identifier
1720889793
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.009103RX Issued in OH
Practice address
7590 Auburn Rd
Concord Township, OH 44077-9176
Phone
(440) 375-8100
NPI assigned
Mar 24, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.009103RX OH Primary

Addresses

Primary practice location

7590 Auburn Rd
Concord Township, OH 44077-9176

Mailing address

8645 Auburn Rd
Chardon, OH 44024-8711
Phone (440) 525-4170

Other practice location 1

36000 Euclid Ave
Willoughby, OH 44094-4625
Phone (440) 953-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250623002557 OH Practitioner - Physician Assistant 2567974827 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Hospital System, Inc. 92 clinicians
University Hospitals Medical Group Inc 2,248 clinicians

Practice addresses (Care Compare)

36500 Euclid Ave
Willoughby, OH 44094-4455
Phone (440) 516-0530

7580 Auburn Rd
Concord Township, OH 44077-9617

7590 Auburn Rd
Concord, OH 44077-9176
Phone (216) 844-3800

Hospital & facility affiliations

  • Lake Health Hospital, Concord, OH, CCN 360098

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
50.009103RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Hospital System Inc CurrentSince Jun 2, 2025 Accepting new patients
Lake Hospital System, Inc CurrentSince Jun 2, 2025 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Dec 1, 2025 Accepting new patients

Locations

8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024

11100 Euclid Ave
Cleveland Heights, OH 44106

7590 Auburn Rd
Concord Township, OH 44077
Phone (440) 354-1899

36000 Euclid Ave
Willoughby Hills, OH 44094
Phone (440) 375-8166

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1742774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1720889793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8645 AUBURN RD",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440248711",
            "telephone_number": "440-525-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7590 AUBURN RD",
            "city": "CONCORD TOWNSHIP",
            "state": "OH",
            "postal_code": "440779176",
            "telephone_number": "440-375-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36000 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Willoughby",
            "state": "OH",
            "postal_code": "440944625",
            "country_code": "US",
            "telephone_number": "440-953-9600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREWSTER",
        "first_name": "BOND",
        "middle_name": "OLIVIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.009103RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord Township, OH

Sources for this page

Verify at the official NPI Registry.