MAX H BRUMMETT (PA) – Physician Assistant, NPI 1740338656

MAX H BRUMMETT (PA) is a healthcare provider. based in Harbor city, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA12523 (CA). The NPI Number for MAX H BRUMMETT (PA) is 1740338656

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
MAX H BRUMMETT (PA)
NPI
1740338656
Phone
(310) 325-5111
Address
25825 VERMONT AVE
Enumeration Date
8 January 2007
Last Update Date
2 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3103255111
Graduation Year
1989 (37 years ago)
PAC ID
2365624434
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20110310000440
Address ID
CA907103518HA25825AVEX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

10,570 PHYSICIAN ASSISTANT in CA

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Provider Addresses for MAX H BRUMMETT (PA)

  • Vermont Avenue, South Los Angeles, Harbor Gateway, Los Angeles, Los Angeles County, California, 90047-4899, United States

    HARBOR CITY, CA 907103518

    Phone: (310) 325-5111

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $150.

Total Amount is formed as General ($150) + Research ($0) + Ownership ($0) = $150.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($150).

Total Amount

$150

General + Research + Ownership

Payments

1

Total payment records

General Amount

$150

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-03-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110310000440IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90710)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002729175View full group profile
NameSpecialtyState
U R O L O G YOH
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Internal Medicine, GastroenterologyCA
Physician AssistantCA
Emergency MedicineNC
O P H T H A L M O L O G YCA
Anesthesiology, Pain ManagementNH
Family Practice, Sports MedicineCA

Reviews

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Frequently asked questions

How do payers reference MAX H BRUMMETT (PA)?
For MAX H BRUMMETT (PA), use NPI 1740338656 as the unique 10-digit identifier.
Is MAX H BRUMMETT (PA) shown as active in public data?
Registry records indicate MAX H BRUMMETT (PA) maintains an active NPI.
What clinical focus is listed for MAX H BRUMMETT (PA)?
At a glance, MAX H BRUMMETT (PA) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MAX H BRUMMETT (PA)?
Travel planning: use Harbor City, California as the reference point for MAX H BRUMMETT (PA), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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