Individual provider Active NPI

Beatrice Alexandria Nelson Brewer, M.D.

  • Psychiatry Physician
  • Gary, IN
National Provider Identifier
1790805448
Registry record updated Apr 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
01034536 Issued in IN
Practice address
4844 Broadway
Gary, IN 46408-4509
Phone
(219) 985-2760
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 01034536 IN Primary

Addresses

Primary practice location

4844 Broadway
Gary, IN 46408-4509

Mailing address

2377 E 70TH PL
Chicago, IL 60649-2263
Phone (773) 851-6379

Other identifiers 1

IdentifierTypeStateIssuer
100202740AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120313000268 IN Practitioner - Psychiatry 8729264288 Reassigns benefits to 1 organization
I20240926001160 CA Practitioner - Psychiatry 8729264288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Rush Medical College of Rush University, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 E 86TH PL
Merrillville, IN 46410-6258

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.64 of 100Reported as group
Quality
56.64
Promoting interoperability
73
Improvement activities
40
Cost
76.72

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Methodist Hospitals, Inc CurrentSince Apr 1, 2015 Accepting new patients
The Methodist Hospitals, Inc CurrentSince Apr 1, 2015 Accepting new patients
Mendocino Community Health Clinic, Inc. Current Accepting new patients
Mendocino Community Health Clinic, Inc. CurrentSince Sep 1, 2024 Accepting new patients
Mendocino Community Health Clinic, Inc. CurrentSince Sep 1, 2024 Accepting new patients

Locations

333 Laws Ave
Ukiah, CA 95482
Phone (707) 463-1113

27350 Network Pl
Chicago, IL 60673

4844 Broadway
Gary, IN 46408
Phone (219) 884-2400

2269 W 25th Ave
Gary, IN 46404
Phone (219) 738-2081

8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926

200 E 86th Pl
Merrillville, IN 46410
Phone (219) 649-2750

8777 Broadway
Merrillville, IN 46410
Phone (219) 736-5151

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302825600000",
    "number": "1790805448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2377 E 70TH PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606492263",
            "telephone_number": "773-851-6379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4844 BROADWAY",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464084509",
            "telephone_number": "219-985-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON BREWER",
        "first_name": "BEATRICE",
        "middle_name": "ALEXANDRIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2011-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01034536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100202740A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gary, IN

Sources for this page

Verify at the official NPI Registry.