NPIMap

Individual provider Active NPI

Dale J Brewer, D.O.

  • Family Medicine Physician
  • Cedar Hill, MO
National Provider Identifier
1952394041
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R8F65 Issued in MO
Practice address
6420 The Cedars CT
Cedar Hill, MO 63016-2222
Phone
(636) 274-2700
Fax
(636) 274-4660
NPI assigned
Aug 24, 2005
Last updated
Nov 8, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R8F65 MO Primary

Addresses

Primary practice location

6420 The Cedars CT
Cedar Hill, MO 63016-2222

Mailing address

6420 The Cedars CT
Cedar Hill, MO 63016-2222
Phone (636) 274-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100511000363 MO Practitioner - Family PracticePractitioner - Hospice/Palliative Care 3375634454 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospice/Palliative Care
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care of Cedar Hill LLCGroup PAC ID 9436413549, 7 clinicians

Practice addresses (Care Compare)

6420 The Cedars CT
Suite 1
Cedar Hill, MO 63016-2222
Phone (636) 274-2700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alternative Hospice LLC CurrentSince Aug 24, 2025 Accepting new patients
Primary Care of Cedar Hill LLC Family Medicine CurrentSince Mar 21, 2020 Accepting new patients
Forrest Opco LLC Past Accepting new patients
Pacific Manor LLC Past Accepting new patients
Cedars Court Healthcare LLC Past Accepting new patients
Prodigal Primary Care PC PastSince Jun 1, 2013 Accepting new patients
Cedar Hill Family Medicine, LLC Family Medicine PastSince Jan 1, 2001 Accepting new patients

Locations

6420 The Cedars Ct
Cedar Hill, MO 63016
Phone (636) 274-2700

6420 The Cedars Ct
Ste 1
Cedar Hill, MO 63016
Phone (636) 274-2700

1749 Gilsinn Ln
Fenton, MO 63026
Phone (636) 343-3839

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Arbor View Nursing and RehabilitationCedar Hill, MO, CCN 265430 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Feb 1, 2025
Jul 18, 2025
Alternative Hospice LLCFenton, MO, CCN 261613 Hospice W-2 Managing Employee Jan 1, 2016

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1952394041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 THE CEDARS CT",
            "city": "CEDAR HILL",
            "state": "MO",
            "postal_code": "630162222",
            "telephone_number": "636-274-2700",
            "fax_number": "636-274-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 THE CEDARS CT",
            "city": "CEDAR HILL",
            "state": "MO",
            "postal_code": "630162222",
            "telephone_number": "636-274-2700",
            "fax_number": "636-274-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "DALE",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R8F65",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Hill, MO

Sources for this page

Verify at the official NPI Registry.