Active NPI
Justin Ford Brewer, PA-C
- Physician Assistant
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA551
- Practice address
- 1720 Spring Hill Ave Ste 3
Mobile, AL 36604-1410 - Phone
- (251) 435-2663
- Fax
- (251) 435-1098
- NPI assigned
- Aug 7, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA551 | AL | Primary |
| Surgical Physician Assistant | 363AS0400X | PA551 | AL |
Addresses
Primary practice location
1720 Spring Hill Ave Ste 3
Mobile, AL 36604-1410
Mailing address
1720 Spring Hill Ave Ste 3
Mobile, AL 36604-1410
Phone (251) 435-2663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 631174582 | Other | AL | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
831 Hillcrest Rd
Mobile, AL 36695-4074
Phone (251) 435-2663
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 551 | AL | MD | Clinical Psychologist |
| PA551 | AL | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Orthopaedic Alliance, PLLC | Current | Accepting new patients | |
| Southern Orthopaedic Alliance PLLC | Current | Accepting new patients | |
| Imc -Gulf Orthopaedics LLC | Current | Accepting new patients | |
| Imc -Gulf Orthopaedics LLC | Current | Accepting new patients | |
| Pinnacle Brain and Spine Center | Past | Accepting new patients | |
| Coastal Anesthesia, P.C. | Past | Accepting new patients |
Locations
341 Greeno Rd N
Fairhope, AL 36532
Phone (251) 210-1320
1622 N McKenzie St
Foley, AL 36535
Phone (251) 928-9954
1720 Spring Hill Ave
Ste 301
Mobile, AL 36604
1720 Spring Hill Ave
Fl 3
Mobile, AL 36604
Phone 2517763569000
831 Hillcrest Rd
Mobile, AL 36695
Phone (251) 633-4949
5320 Highway 90 W
Mobile, AL 36619
Phone (251) 602-1667
831 Hillcrest Rd
Ste C
Mobile, AL 36695
Phone (251) 633-4949
1720 Spring Hill Ave
Ste 3
Mobile, AL 36604
95 Shell St
Saraland, AL 36571
Phone (251) 341-2740
75 Shell St
Saraland, AL 36571
Interoperability endpoints
- justinbreweralortho.com@alortho.emadirect.md
Organizations & group practices 7
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.
-
- Orthopaedic Surgery Physician
- Mobile, AL
- NPI 1588364228
-
- Orthopaedic Surgery Physician
- Mobile, AL
- NPI 1639753171
-
- Family Medicine Physician
- Mobile, AL
- NPI 1174411193
-
- Orthopaedic Surgery Physician
- Foley, AL
- NPI 1437858636
-
- Durable Medical Equipment & Medical Supplies
- Brewton, AL
- NPI 1093561896
-
- Anesthesiology Physician
- Mobile, AL
- NPI 1588637169
-
- Neurological Surgery Physician
- Mobile, AL
- NPI 1457462731
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mobile, AL
- NPI 1558364802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704931200000",
"number": "1922299783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 SPRING HILL AVE STE 3",
"city": "MOBILE",
"state": "AL",
"postal_code": "366041410",
"telephone_number": "251-435-2663",
"fax_number": "251-435-1098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 SPRING HILL AVE STE 3",
"city": "MOBILE",
"state": "AL",
"postal_code": "366041410",
"telephone_number": "251-435-2663",
"fax_number": "251-435-1098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWER",
"first_name": "JUSTIN",
"middle_name": "FORD",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-07",
"last_updated": "2024-01-11",
"certification_date": "2024-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AL",
"license": "PA551",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "AL",
"license": "PA551",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "631174582",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.