Brewer Family Wellness PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BREWER FAMILY WELLNESS PC

Practice address

742 E Main St Uppr Level
Annville, PA 17003-1602

Phone

(717) 867-4000

Fax

(833) 451-2199

NPI assigned

Jan 16, 2024

Last updated

Jan 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Autumn Garrison

Title

Clinical Supervisor

Phone

(717) 867-4000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

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.

• Melina Charrell Brewer, CRNP

  • Nurse Practitioner
  • Annville, PA
  • NPI 1275170474

  Multi-Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1417718610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 CHURCH AVE",
            "city": "ANNVILLE",
            "state": "PA",
            "postal_code": "170039752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 E MAIN ST UPPR LEVEL",
            "city": "ANNVILLE",
            "state": "PA",
            "postal_code": "170031602",
            "telephone_number": "717-867-4000",
            "fax_number": "833-451-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREWER FAMILY WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "GARRISON",
        "authorized_official_first_name": "AUTUMN",
        "authorized_official_title_or_position": "CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "717-867-4000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominic Jaren Bolton, CSCS
• Mikayla Bowman
• Breathe Easy Counseling
• Brennan Chiropractic PC
• Timothy Joseph Brennan, DC
• Melina Charrell Brewer, CRNP
• Antoinette Cantarella
• E Jessica Lynn Carroll, LPN
• Glandnair Catherine Carter, NP
• Chungyu Chang, DMD

• Family Medicine Physician in Annville, PA
• Providers in Annville, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.