Bruce G Brewer, PT, MSPT, CMTPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305201809 Issued in VA

Practice address

3100 W Marshall St
Richmond, VA 23230-4706

Phone

(804) 342-5857

Fax

(804) 355-0408

NPI assigned

Oct 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tidewater Physical Therapy LLCGroup PAC ID 6406759281, 225 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.16 of 100Reported as group

Quality

85.78

Promoting interoperability

99

Improvement activities

40

Cost

75.6

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Tidewater Physical Therapy, LLC

  • Physical Therapist
  • Glen Allen, VA
  • NPI 1457389595
  Medicare reassignment Care Compare group NPD
• Tidewater Physical Therapy LLC

  • Physical Therapist
  • Franklin, VA
  • NPI 1265712103
  Care Compare group
• Tidewater Physical Therapy, LLC

  • Physical Therapist
  • Newport News, VA
  • NPI 1467471896
  Care Compare group
• Tidewater Physical Therapy, LLC

  • Physical Therapist
  • Glen Allen, VA
  • NPI 1477588986
  Care Compare group
• Tidewater Physical Therapy, LLC

  • Physical Therapist
  • Williamsburg, VA
  • NPI 1942229901
  Care Compare group
• Tidewater Physical Therapy, LLC

  • Physical Therapist
  • Roanoke, VA
  • NPI 1437664356
  NPD

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1780765925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69030",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212649030",
            "telephone_number": "757-873-2306",
            "fax_number": "757-873-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 W MARSHALL ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232304706",
            "telephone_number": "804-342-5857",
            "fax_number": "804-355-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "BRUCE",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "PT, MSPT, CMTPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305201809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00177776",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PHYSICAL THERAPY",
            "identifier": "225579",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010061512",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7900156",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mona Brenner, NP
• Sharon L Brenner, PH.D.
• Brent a. Rusnak, D.D.S, P.C
• Joy Bressler, L.C.S.W. PH.D.
• Andrea Leigh Brewer
• Courtney M Brewer, MD
• Katherine Virginia Adams Brewer, LCSW
• Laura Catherine Brewer, PHD
• Steven Aron Brewer, PA
• William H Brewer, M.D.

• All providers in Richmond, VA
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.