Individual provider Active NPI

William Michael Brewer

  • Adult Companion
  • Knoxville, TN
National Provider Identifier
1770991978
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
License
1000000014344 Issued in TN
Practice address
10805 Dundee Rd
Knoxville, TN 37934-1814
Phone
(865) 789-2172
Fax
(865) 966-6302
NPI assigned
Jul 31, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Chore Provider 372500000X 1000000014344 TN
Adult Companion 372600000X 1000000014344 TN Primary
Technician 374700000X 1000000014344 TN
Attendant Care Provider 3747A0650X 1000000014344 TN
Personal Care Attendant 3747P1801X 1000000014344 TN
Home Health Aide 374U00000X 1000000014344 TN
Homemaker 376J00000X 1000000014344 TN

Addresses

Primary practice location

10805 Dundee Rd
Knoxville, TN 37934-1814

Mailing address

10805 Dundee Rd
Knoxville, TN 37934-1814
Phone (865) 789-2172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1000000014344TNMDPersonal Care Attendant

Practice roles

OrganizationSpecialtyStatusNew patients
William Brewer Enterprises Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406764800000",
    "number": "1770991978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10805 DUNDEE RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341814",
            "telephone_number": "865-789-2172",
            "fax_number": "865-966-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10805 DUNDEE RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341814",
            "telephone_number": "865-789-2172",
            "fax_number": "865-966-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "WILLIAM",
        "middle_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-31",
        "last_updated": "2014-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "TN",
            "license": "1000000014344",
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "TN",
            "license": "1000000014344",
            "primary": true
        },
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": "TN",
            "license": "1000000014344",
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "TN",
            "license": "1000000014344",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "TN",
            "license": "1000000014344",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "TN",
            "license": "1000000014344",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "TN",
            "license": "1000000014344",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; 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.