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RANDELL B BREWER DMD
NPI 1518644723
Dentist - General Practice in Corbin, KY

Active since June 29, 2023PECOS Enrolled
14662 N US HIGHWAY 25 E, CORBIN, KY 40701(606) 526-9005 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Randell B Brewer Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RANDELL B BREWER DMD (NPI 1518644723) is an individual general practice provider in Corbin, Kentucky, licensed in Kentucky (10939) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518644723
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameRANDELL B BREWERCredential: DMD
Location Address14662 N US HIGHWAY 25 ECorbin, KY 40701-6425
Mailing Address285 Beechwood DrLondon, KY 40744-5402
Phone(606) 526-9005
Sole ProprietorYes
Enumeration DateJune 29, 2023
NPPES CertifiedJune 29, 2023
✔ NPI 1518644723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in KY · 10939
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
14662 N US HIGHWAY 25 E, Corbin, KY 40701
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Randell B Brewer Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Randell Brewer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grace Community Health Center Inc
5.0 mi
Federally Qualified Health Center (FQHC)
1419 CUMBERLAND FALLS HIGHWAY
Corbin, KY 40701
  • Reassigned Medicare billing, Kentucky enrollment
  • 81 clinicians in this Medicare group
NPI 1508308560 (606) 528-4481

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SKYLA DAWN WALTERS
Social Worker (Clinical)
14662 N US HIGHWAY 25 E
CORBIN, KY 40701
Whitley County (606) 526-9005
JOSEPH T SHELTON PA
Physician Assistant
14662 N US HIGHWAY 25 E
CORBIN, KY 40701
Whitley County (606) 526-9005
KAYLA PREWITT
Pharmacist
14662 N US HIGHWAY 25 E
CORBIN, KY 40701
Whitley County (606) 526-9005
AMANDA GAUDET FNP-C
Nurse Practitioner (Family)
14662 N US HIGHWAY 25 E
CORBIN, KY 40701
Whitley County (606) 526-9005
MS. STEPHANIE LYNN TAYLOR PHARMD
Pharmacist
14662 N US HIGHWAY 25 E
CORBIN, KY 40701
Whitley County (606) 526-9005
CRYSTAL MCKIDDY P.A
Physician Assistant (Medical)
14662 N US HIGHWAY 25 E
CORBIN, KY 40701
Whitley County (606) 526-9005
BAILEY HUBBARD DMD
Dentist (General Practice)
14662 N US HIGHWAY 25 E
CORBIN, KY 40701
Whitley County (606) 526-9005
ASPEN HIGGINS BEVERLEY PHARMD
Pharmacist (Ambulatory Care)
14662 N US HIGHWAY 25 E
CORBIN, KY 40701
Whitley County (606) 526-9005

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randell Brewer's NPI number?

The NPI number for Randell Brewer is 1518644723. It was assigned to this individual provider in the NPPES registry on June 29, 2023.

Where is Randell Brewer located?

Randell Brewer practices at 14662 N Us Highway 25 E, Corbin, KY 40701. The listed phone number is (606) 526-9005.

What is Randell Brewer's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Randell Brewer enrolled in Medicare?

Yes. Randell Brewer is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Randell Brewer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Randell Brewer reassigns Medicare benefits to Grace Community Health Center Inc (Corbin, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Randell Brewer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Randell Brewer accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, BEST Life and Blue Cross and Blue Shield of Montana and 7 other insurers list Randell Brewer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Randell Brewer was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.