Brewer Health Center PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

1127 Issued in ME

Legal business name

BREWER HEALTH CENTER PA

Practice address

401 S Main St
Brewer, ME 04412-2322

Phone

(207) 989-5588

Fax

(207) 989-1599

NPI assigned

Oct 9, 2007

Organization subpart

No

Name

Mr. Gary M Ross, D.O.

Title

Owner

Phone

(207) 989-5588

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 26, 2014.

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416960000000",
    "number": "1487842019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S MAIN ST",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044122322",
            "telephone_number": "207-989-5588",
            "fax_number": "207-989-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S MAIN ST",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044122322",
            "telephone_number": "207-989-5588",
            "fax_number": "207-989-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREWER HEALTH CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2014-11-26",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-989-5588",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "ME",
            "license": "1127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1639130099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather J Bowker, APRN
• Brett Bradford, PT
• Holly Jane Bragan, SLP
• Amy L Bragg, MA
• Brewer Dental Specialists, P.a.
• Kathryn Wistar Myers Bronson, CPM
• William J Bronson, PAC
• Philip L. Brooks, MD
• Bethany Brophy, LMSW-CC
• Laurie A Brophy, LCSW

• All providers in Brewer, ME
• Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.