Jeromy Michael Brewer

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

311ZA0620X Issued in MI

Practice address

656 E Michigan St
Farwell, MI 48622-9476

Phone

(989) 289-3371

NPI assigned

Jun 11, 2019

Last updated

Jun 11, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1619536950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 E MICHIGAN ST",
            "city": "FARWELL",
            "state": "MI",
            "postal_code": "486229476",
            "telephone_number": "989-289-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 E MICHIGAN ST",
            "city": "FARWELL",
            "state": "MI",
            "postal_code": "486229476",
            "telephone_number": "989-289-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "JEROMY",
        "middle_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "311ZA0620X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Allen, DDS
• Michael Baker
• Bethesda Health Services LLC
• Kodee Bowlen
• Margaret Brewer
• Michael Brewer
• Quinci Anne Butler
• Stacy Carstensen, FNP
• Central Michigan Family Practice

• Adult Care Home Facility in Farwell, MI
• Providers in Farwell, MI by specialty
• Adult Care Home Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.