Mark Brew

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209311 Issued in OK

Practice address

3120 Midland Valley St
Norman, OK 73069-6970

Phone

(614) 943-1041

NPI assigned

Jun 11, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1307750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1982999504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5520 MESA RIDGE LN",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432316731",
            "telephone_number": "614-625-6486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 MIDLAND VALLEY ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696970",
            "telephone_number": "614-943-1041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5520 Mesa Ridge Ln",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432316731",
            "country_code": "US",
            "telephone_number": "614-625-6486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREW",
        "first_name": "MARK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-11",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "209311",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN.133673-M-IV",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aimee Nicole Bredeson, LPC, ATR
• Kimberly Brennan, LPC
• Rebecca Brennan, COTA/L
• Brent Delong, PLLC
• Angela Brew, LADC
• Beverly Virginia Brewer
• Bryan D Brewer, PTA
• Candyse Elizabeth Brewer, APRN-CNS
• Jana Hutchins Brewer, MS
• Nathaniel Dale Brewer

• Family Nurse Practitioner in Norman, OK
• Providers in Norman, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.