Organization Active NPI

Mary Kay Brewster MD Inc

  • Obstetrics & Gynecology Physician
  • Monterey, CA
National Provider Identifier
1750494688
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G84568 Issued in CA
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

Updated by the provider on Nov 30, 2007

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
ZZZ05129ZOtherCAMEDICARE PTAN

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.