Judson L Brewer MD PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

JUDSON L BREWER MD PC

Practice address

717 W 1St St
Bloomington, IN 47403-2319

Phone

(812) 323-0406

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Judson Brewer

Title

President

Phone

(812) 323-0406

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1568588168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 W 1ST ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032319",
            "telephone_number": "812-323-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 W 1ST ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032319",
            "telephone_number": "812-323-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDSON L BREWER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "JUDSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-323-0406"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "P00016717",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BS",
            "identifier": "000000176207",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline K Joyce, M.D.
• Mickaela Joyce
• JP Dental - Bloomington, LLC
• Molly Marie Judge, BSN, RN, CRNI, VA-BC
• Shanaz Nacy Judge, PMHNP
• Sangeeta Juloori, M.D.
• Sonia A Jyoti, M.D.
• K Luke Eades DDS PC
• Kab Medical Associates, Inc
• Allison Kaderabek, M.D.

• Obstetrics & Gynecology Physician in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Obstetrics & Gynecology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.