Active NPI
Bryan D. Brewer, MD, PA
- Specialist
- Flower Mound, TX
National Provider Identifier
1366723017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- P0172
- Legal business name
- BRYAN D. BREWER, MD, PA
- Practice address
- 4300 Windsor Centre TRL
Suite 400
Flower Mound, TX 75028-1862 - Phone
- (972) 219-6800
- Fax
- (972) 219-0053
- NPI assigned
- Sep 7, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bryan D. Brewer, MD
- Title
- President
- Phone
- (972) 219-6800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | P0172 | TX | Primary |
Addresses
Primary practice location
4300 Windsor Centre TRL
Suite 400
Flower Mound, TX 75028-1862
Mailing address
4300 Windsor Centre TRL
Suite 400
Flower Mound, TX 75028-1862
Phone (972) 219-6800
National Provider Directory
National Provider DirectoryLocations
4300 Windsor Centre Trl
Ste 400
Flowermound, TX 75028
Phone (214) 222-8150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1315353600000",
"number": "1366723017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 WINDSOR CENTRE TRL",
"address_2": "SUITE 400",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750281862",
"telephone_number": "972-219-6800",
"fax_number": "972-219-0053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 WINDSOR CENTRE TRL",
"address_2": "SUITE 400",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750281862",
"telephone_number": "972-219-6800",
"fax_number": "972-219-0053"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRYAN D. BREWER, MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-07",
"last_updated": "2011-09-07",
"status": "A",
"authorized_official_last_name": "BREWER",
"authorized_official_first_name": "BRYAN",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "972-219-6800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "TX",
"license": "P0172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flower Mound, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.