Beau Brewer, ATC, CES

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT.0002142 Issued in CO

Practice address

7232 S Blackhawk St Apt 4-103
Englewood, CO 80112-4016

Phone

(719) 760-9953

NPI assigned

Jul 21, 2020

Last updated

Jul 21, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1538777933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7232 S BLACKHAWK ST UNIT 4-103",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801124016",
            "telephone_number": "719-760-9953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7232 S BLACKHAWK ST APT 4-103",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801124016",
            "telephone_number": "719-760-9953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "BEAU",
        "credential": "ATC, CES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CO",
            "license": "AT.0002142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESPIRATORY, REHABILITATIVE & RESTORATIVE SERVICE PROVIDERS",
            "identifier": "22",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teena Elaine Brenkendorff, RRA, RPA
• Jamie Brennan
• Janice K Brenneman, M.D.
• Hilary Quentin Bresner, LCSW
• Aubree Renee Brewer
• Matthew Brewer, MS, ATC-R
• Brian R Bishop PC
• Brighter Strides ABA Co LLC
• Brightly Dental Parker West
• Susan R. Brion

• Athletic Trainer in Englewood, CO
• Providers in Englewood, CO by specialty
• Athletic Trainer in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.