Jordan A Brewster · Clinical Cardiac Electrophysiology Physician

2925 Chicago Ave, Minneapolis, MN 55407-1321

Overview

Jordan A Brewster is a Clinical Cardiac Electrophysiology Physician practicing in Coon Rapids, Minnesota. The National Provider Identifier (NPI) is #1023282423, which was assigned on April 16, 2008, and the registration record was last updated on August 14, 2025. The practitioner's main practice location is at 4040 Coon Rapids Blvd Nw Ste 120, Coon Rapids, MN 55433-4568; the contact telephone number is 7634279980. The primary taxonomy of Jordan A Brewster is Clinical Cardiac Electrophysiology Physician (207RC0001X), with specialization in Clinical Cardiac Electrophysiology. Jordan A Brewster is licensed to practice in the state of Minnesota (#80052), Minnesota (#80052), Minnesota (#80052).

A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.

Provider Information

NPI 1023282423
Entity Type Individual
Provider Name DR. JORDAN A BREWSTER
Gender Male
Credential M.D.
Practice Address 4040 Coon Rapids Blvd Nw Ste 120
Coon Rapids
MN 55433-4568
Practice Telephone 7634279980
Mailing Address 2925 Chicago Ave
Minneapolis
MN 55407-1321
Mailing Telephone 7634279980
Mailing Fax Number 9185921021
Certification Date 2025-08-14
Enumeration Date 2008-04-16
Last Update Date 2025-08-14
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 9234420852
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name JORDAN ANDREW BREWSTER
Primary Specialty CARDIAC ELECTROPHYSIOLOGY
Organization Legal Name AHS CLAREMORE REGIONAL HOSPITAL LLC
Address 201 W Blue Starr Dr
Claremore
OK 74017-4227

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N207R00000XInternal Medicine80052MN
N207RC0000XInternal MedicineCardiovascular Disease80052MN
Y207RC0001XInternal MedicineClinical Cardiac Electrophysiology80052MN
N390200000XStudent in an Organized Health Care Education/Training Program

Secondary Practice Locations

AddressTelephoneFax
1265 S Utica Ave, Suite 300, Tulsa, OK 74104424391859209999185921021

Taxonomy Information

Primary Taxonomy

Code 207RC0001X
Taxonomy Clinical Cardiac Electrophysiology Physician
Classification Internal Medicine
Specialization Clinical Cardiac Electrophysiology
Grouping Allopathic & Osteopathic Physicians
Definition: A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Other Taxonomy

Code 207R00000X
Taxonomy Internal Medicine Physician
Classification Internal Medicine
Grouping Allopathic & Osteopathic Physicians
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Other Taxonomy

Code 207RC0000X
Taxonomy Cardiovascular Disease Physician
Classification Internal Medicine
Specialization Cardiovascular Disease
Grouping Allopathic & Osteopathic Physicians
Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Other Taxonomy

Code 390200000X
Taxonomy Student in an Organized Health Care Education/Training Program
Classification Student in an Organized Health Care Education/Training Program
Grouping Student, Health Care
Definition: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Varun Vanka 1800 North Capitol Avenue, Suite E371, Indianapolis, IN 46202-1218Clinical Cardiac Electrophysiology Physician2019-06-06
Sonotech Group Practice LLC 4301 Lapalco Blvd Ste B, Marrero, LA 70072-4336Clinical Cardiac Electrophysiology Physician2025-05-07
Bmmsa Heart & Vascular Center of The Main Line 955 E Haverford Rd Ste 100, Bryn Mawr, PA 19010-3868Clinical Cardiac Electrophysiology Physician2021-12-15
Heart Prime LLC 2421 E Southern Ave Ste 7, Tempe, AZ 85282-7612Clinical Cardiac Electrophysiology Physician2025-10-08
Lester E Cox Medical Centers 3800 S National Ave # 170, Springfield, MO 65807-5209Clinical Cardiac Electrophysiology Physician2022-02-04
Houston Heart Rhythm Institute PLLC 2100 West Loop S Ste 400, Houston, TX 77027-3544Clinical Cardiac Electrophysiology Physician2025-07-07
James Salazar 505 Parnassus Ave Rm M-987, San Francisco, CA 94143-2204Clinical Cardiac Electrophysiology Physician2018-04-03
Honorhealth Ambulatory 19841 N 27th Ave Ste 101, Phoenix, AZ 85027-4004Clinical Cardiac Electrophysiology Physician2020-06-03
Precision Cardiology PLLC 450 W Medical Center Blvd Ste 510, Webster, TX 77598-4233Clinical Cardiac Electrophysiology Physician2025-06-20
Oreoluwa D Oladiran 4802 E Johnson Ave, Jonesboro, AR 72405-8413Clinical Cardiac Electrophysiology Physician2017-07-26
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Location Information

Street Address 2925 CHICAGO AVE
City MINNEAPOLIS
State MN
Zip Code 55407-1321
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Zamzam M Dini 2925 Chicago Ave, Minneapolis, MN 55407-1321Mental Health Counselor2020-12-04
Elizabeth Ann Hintz 2925 Chicago Ave, Minneapolis, MN 55407-1321Clinical Social Worker2025-03-19
Morgan E Gagner 2925 Chicago Ave, Minneapolis, MN 55407-1321Social Worker2019-06-14
Kari Christine Abraham 2925 Chicago Ave, Minneapolis, MN 55407-1321Registered Nurse2024-06-14
Madeline Mulcahy 2925 Chicago Ave, Minneapolis, MN 55407-1321Clinical Social Worker2025-04-11
Ryan Mcauliffe 2925 Chicago Ave, Minneapolis, MN 55407-1321Internal Medicine Physician2021-03-29
Rachael Summers 2925 Chicago Ave, Minneapolis, MN 55407-1321Obstetrics & Gynecology Physician2014-03-28
Tiffany Thuy-Tien Ngo 2925 Chicago Ave, Minneapolis, MN 55407-1321Pediatrics Physician2021-04-01
Randi Rose Passe 2925 Chicago Ave, Minneapolis, MN 55407-1321Clinical Social Worker2025-06-04
Abhijin Kamath 2925 Chicago Ave, Minneapolis, MN 55407-1321Professional Counselor2025-04-18
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Lilian Kigonya 2925 Chicago Avuenue, Minneapolis, MN 55407-1321Family Medicine Physician2008-05-07
Michael A. Samara 920 East 28th Street, Suite 300, Minneapolis, MN 55407-1321Internal Medicine Physician2007-05-04

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Heal With Me Psychotherapy LLC 2615 Park Ave S, Suite B4, Minneapolis, MN 55407Mental Health Clinic/Center (Including Community Mental Health Center)2025-07-22
Amaal Aden Said 2750 Park Ave, Minneapolis, MN 55407-1009Behavior Technician2025-04-02
Allina Health System 920 E 28th St Ste 540, Minneapolis, MN 55407-1134Surgery Physician2017-10-18
Midwest Behavioral Wellness LLC 2750 Park Ave Ste 9, Minneapolis, MN 55407-1009Community/Behavioral Health Agency2025-04-14
Jo Anne Goldman 920 E 28th St, Suite 60, Minneapolis, MN 55407-1139Cardiovascular Invasive Specialist/Technologist2007-03-19
Sue Beavis 2606 Smith Ave. S., Minneapolis, MN 55407Midwife2022-02-15
Saed Abukar Maye 2722 Park Ave # 20, Minneapolis, MN 55407-1009Home Health Agency2025-06-24
Royal Transport Rides Inc 2722 Park Ave Ste 303, Minneapolis, MN 55407-1009Non-emergency Medical Transport (VAN)2025-08-20
Let It Be Therapy 2615 Park Ave Ste B4, Minneapolis, MN 55407Mental Health Clinic/Center (Including Community Mental Health Center)2025-07-07
Strive Home Care Services LLC 2716 Portland Ave, Minneapolis, MN 55407-1013Home Health Agency2025-04-02
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.