Stephen James Brewer, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2947 Issued in AL

Practice address

405 Alabama Ave NW
Fort Payne, AL 35967-2327

Phone

(256) 845-1332

Fax

(256) 845-2916

NPI assigned

Jan 24, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1215082797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 ALABAMA AVE NW",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359672327",
            "telephone_number": "256-845-1332",
            "fax_number": "256-845-2916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 ALABAMA AVE NW",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359672327",
            "telephone_number": "256-845-1332",
            "fax_number": "256-845-2916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "STEPHEN",
        "middle_name": "JAMES",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "2947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD OF",
            "identifier": "90742",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aletha P Bowen, LPTA
• Brooke Allison Bowen, LPC
• Ronald R Bowen, LCSW
• Mary Brannon, OTR/L
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• John H Brickley, D.C.
• Don G. Brock, D.MIN., LPC
• Chase Austin Brown, PA-C
• Donna Sue Broyles, M.S. SLP-CCC
• Kimberly Bryan

• General Practice Dentistry in Fort Payne, AL
• Providers in Fort Payne, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.