Organization Active NPI

Michael R Brewer DPM PC

Doing business as Maui Foot and Ankle Clinic

  • Podiatrist
  • Wailuku, HI
National Provider Identifier
1750685525
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
MICHAEL R BREWER DPM PC
Doing business as
Maui Foot and Ankle Clinic
Practice address
115 N Market St
Wailuku, HI 96793-1717
Phone
(808) 647-0579
Fax
(808) 400-5890
NPI assigned
Jan 7, 2011
Last updated
Nov 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Authorized official

Name
Michael R Brewer, DPMNPI 1588976377
Title
Provider/Owner
Phone
(808) 385-0938

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 709 AZ
Podiatrist 213E00000X Primary

Addresses

Primary practice location

115 N Market St
Wailuku, HI 96793-1717

Mailing address

115 N Market St
Wailuku, HI 96793-1717
Phone (808) 647-0579

Other practice location 1

6036 N 19th Ave
Suite 204
Phoenix, AZ 85015-2106
Phone (602) 993-2700

Other names 1

  • Maui Foot and Ankle Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

9941 N 95th St
Scottsdale, AZ 85258

115 N Market St
Wailuku, HI 96793
Phone (808) 242-0001

1827 Wells St
Ste 1
Wailuku, HI 96793
Phone (808) 242-0001

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1294358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669766400000",
    "number": "1750685525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N MARKET ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931717",
            "telephone_number": "808-647-0579",
            "fax_number": "808-400-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N MARKET ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931717",
            "telephone_number": "808-647-0579",
            "fax_number": "808-400-5890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6036 N 19th Ave",
            "address_2": "SUITE 204",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850152106",
            "country_code": "US",
            "telephone_number": "602-993-2700",
            "fax_number": "602-993-2705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHAEL R BREWER DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-07",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "808-385-0938",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "709",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maui Foot and Ankle Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wailuku, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.