Brewer Chiropractic LLC
Organization Active NPI Primary Care Clinic/Center · Show Low, AZ
NPI 1154675239 · NPPES record last updated Jun 1, 2026
Key facts
- NPI
- 1154675239
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- License
- 7695 (AZ)
- Legal business name
- BREWER CHIROPRACTIC LLC
- Practice address
- 581 E Old Linden Rd
Show Low, AZ 85901-4825 - Phone
- (928) 537-2600
- Fax
- (928) 337-3291
- NPI assigned
- Oct 29, 2012
- Organization subpart
- No
Authorized official
- Name
- Virgene J Ugwu
- Title
- Office Manager
- Phone
- (928) 337-3125
Practitioners 2
-
Ryan Cole Brewer, D.C.
-
Sean Patrick Wilson, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130221000536 | AZ | Part B Supplier - Clinic/Group Practice | 4789839846 |
Receives reassigned benefits from 1 practitioner Practice locations: Show Low, AZ; St Johns, AZ |
National Provider Directory
Locations
520 W Deuce of Clubs
Show Low, AZ 85901
581 E Old Linden Rd
Show Low, AZ 85901
Phone (928) 537-2600
391 W Deuce of Clubs
Ste B
Show Low, AZ 85901
Phone (928) 358-7118
391 W Deuce of Clubs
Show Low, AZ 85901
Phone (928) 537-2600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 7695 | AZ | Yes |
Addresses
Primary practice location
581 E Old Linden Rd
Show Low, AZ 85901-4825
Mailing address
581 E Old Linden Rd
Show Low, AZ 85901-4825
Phone (928) 537-2600
Other providers in Show Low, AZ
- Braden Partners LP
- Craig Gilbert Brady
- Brandon D Arnow DMD PLC
- Jay M Brashear
- Terilyn Humphrey Brasher
- Daniel Grant Brewer
- Ryan Cole Brewer
- Jennifer Brimhall
- Richard Brimhall
- Nicolette Broby
All providers in Show Low, AZ · Primary Care Clinic/Center in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.