Individual provider Active NPI

Justin Ford Brewer, PA-C

  • Physician Assistant
  • Mobile, AL
National Provider Identifier
1922299783
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA551 Issued in AL
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

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
631174582OtherALTAX 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070905000503 AL Practitioner - Physician Assistant 7113010273 Reassigns benefits to 3 organizations

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

LicenseStateTypeSpecialty
551ALMDClinical Psychologist
PA551ALMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Orthopaedic Alliance, PLLC CurrentSince Mar 14, 2024 Accepting new patients
Southern Orthopaedic Alliance PLLC CurrentSince Mar 14, 2024 Accepting new patients
Imc -Gulf Orthopaedics LLC CurrentSince Feb 23, 2024 Accepting new patients
Imc -Gulf Orthopaedics LLC CurrentSince Feb 23, 2024 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.