Active NPI
Byron Lee Brewer Jr., RNFA
- Registered Nurse First Assistant
- Slidell, LA
National Provider Identifier
1487723235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- License
- RN097365
- Practice address
- 405 Tanglewood Dr
Slidell, LA 70458-1756 - Phone
- (985) 649-3440
- Fax
- (985) 661-8554
- NPI assigned
- Nov 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | RN097365 | LA | Primary |
Addresses
Primary practice location
405 Tanglewood Dr
Slidell, LA 70458-1756
Mailing address
312 Clear Lake Blvd
Covington, LA 70435-0276
Phone (985) 249-5020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN097365 | LA | MD | Registered Nurse First Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216339200000",
"number": "1487723235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 CLEAR LAKE BLVD",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704350276",
"telephone_number": "985-249-5020",
"fax_number": "985-249-5092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 TANGLEWOOD DR",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704581756",
"telephone_number": "985-649-3440",
"fax_number": "985-661-8554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWER",
"first_name": "BYRON",
"middle_name": "LEE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "RNFA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2008-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "LA",
"license": "RN097365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.