Active NPI
Walter H Brewer Jr., MD
- Obstetrics & Gynecology Physician
- Tucson, AZ
National Provider Identifier
1932279247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 22069
- Practice address
- 5301 E Grant Rd
Tucson, AZ 85712-2805 - Phone
- (520) 795-5818
- Fax
- (520) 325-0809
- NPI assigned
- Nov 8, 2006
- Last updated
- Sep 12, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 22069 | AZ | Primary |
Addresses
Primary practice location
5301 E Grant Rd
Tucson, AZ 85712-2805
Mailing address
PO Box 31235
Tucson, AZ 85751-1235
Phone (520) 795-8155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 157562 | Other | AZ | AHCCCS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obstetrix Medical Group of Arizona | Obstetrics & Gynecology | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics & Gynecology Physician
- Tucson, AZ
- NPI 1093998270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631404800000",
"number": "1932279247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31235",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857511235",
"telephone_number": "520-795-8155",
"fax_number": "520-325-0809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 E GRANT RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122805",
"telephone_number": "520-795-5818",
"fax_number": "520-325-0809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWER",
"first_name": "WALTER",
"middle_name": "H",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2021-09-12",
"certification_date": "2021-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "AZ",
"license": "22069",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS",
"identifier": "157562",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
- Guy Thomas Brewer, MS, BCBA, LBA-AZ
- Jesse Abraham Brewer, DDS
- Shannon Brewer, DO
- Stephen C Brewer, M.D.
- Tammy Lynn Brewer, LPC
- Brian Donovan MD Casalim Family Medicine PLLC (Casalim Family Medicine)
- Brian J Levine MD PC
- Brian L. Cabin, MD, PC
- Brian Midei D.D.S.,P.C.
- Brian P Hutcheson DPM PLLC (Desert Hills Podiatric)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.