Organization Active NPI

Brewer Chiropractic LLC

  • Primary Care Clinic/Center
  • Show Low, AZ
National Provider Identifier
1154675239
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
7695 Issued in 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
Last updated
Jun 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Authorized official

Name
Virgene J Ugwu
Title
Office Manager
Phone
(928) 337-3125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 7695 AZ Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

National Provider Directory

Locations

391 W Deuce of Clubs
Show Low, AZ 85901
Phone (928) 537-2600

391 W Deuce of Clubs
Ste B
Show Low, AZ 85901
Phone (928) 358-7118

520 W Deuce of Clubs
Show Low, AZ 85901

581 E Old Linden Rd
Show Low, AZ 85901
Phone (928) 537-2600

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1154675239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "581 E OLD LINDEN RD",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859014825",
            "telephone_number": "928-537-2600",
            "fax_number": "928-337-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 E OLD LINDEN RD",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859014825",
            "telephone_number": "928-537-2600",
            "fax_number": "928-337-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREWER CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-29",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "UGWU",
        "authorized_official_first_name": "VIRGENE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "928-337-3125"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "7695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Show Low, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.