Individual provider Active NPI

Kevin J Brewster, D.O.

  • Internal Medicine Physician
  • Taneytown, MD
National Provider Identifier
1770535296
Registry record updated Apr 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H0058598 Issued in MD
Practice address
1 Kings Dr
Taneytown, MD 21787-2331
Phone
(410) 756-5323
Fax
(410) 756-5326
NPI assigned
May 16, 2006
Last updated
Apr 19, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2013

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 H0058598 MD Primary

Addresses

Primary practice location

1 Kings Dr
Taneytown, MD 21787-2331

Mailing address

344 Azalea Drive
Hanover, PA 17331
Phone (717) 630-0920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20041120000013 MD Practitioner - Internal Medicine 7416912381

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
18.06 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
60.21

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients
Family Medical Associates,LLC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366329600000",
    "number": "1770535296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 AZALEA DRIVE",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "17331",
            "telephone_number": "717-630-0920",
            "fax_number": "717-634-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KINGS DR",
            "city": "TANEYTOWN",
            "state": "MD",
            "postal_code": "217872331",
            "telephone_number": "410-756-5323",
            "fax_number": "410-756-5326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWSTER",
        "first_name": "KEVIN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2013-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "H0058598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taneytown, MD

Sources for this page

Verify at the official NPI Registry.