Organization Active NPI

Bryan D. Brewer, MD, PA

  • Specialist
  • Flower Mound, TX
National Provider Identifier
1366723017
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
P0172 Issued in TX
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

Updated by the provider on Sep 7, 2011

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.