Active NPI
Mary Kay Brewster MD Inc
- Obstetrics & Gynecology Physician
- Monterey, CA
National Provider Identifier
1750494688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- G84568
- Legal business name
- MARY KAY BREWSTER MD INC
- Practice address
- 172 El Dorado St
Monterey, CA 93940-3118 - Phone
- (831) 649-0111
- Fax
- (831) 649-0125
- NPI assigned
- Aug 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mary Kay Marina Brewster
- Title
- Owner
- Phone
- (831) 649-0111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | G84568 | CA | Primary |
Addresses
Primary practice location
172 El Dorado St
Monterey, CA 93940-3118
Mailing address
172 El Dorado St
Monterey, CA 93940-3118
Phone (831) 649-0111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ05129Z | Other | CA | MEDICARE PTAN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196380800000",
"number": "1750494688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "172 EL DORADO ST",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939403118",
"telephone_number": "831-649-0111",
"fax_number": "831-649-0125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "172 EL DORADO ST",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939403118",
"telephone_number": "831-649-0111",
"fax_number": "831-649-0125"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARY KAY BREWSTER MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-16",
"last_updated": "2007-11-30",
"status": "A",
"authorized_official_last_name": "BREWSTER",
"authorized_official_first_name": "MARY KAY",
"authorized_official_middle_name": "MARINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "831-649-0111",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "G84568",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "ZZZ05129Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monterey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.