Thomas Fordham Brewer, MD
Individual provider Active NPI Occupational Medicine Physician · Woodruff, SC
NPI 1659604197 · NPPES record last updated Jul 13, 2023
Key facts
- NPI
- 1659604197
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Medicine Physician 2083X0100X
- License
- 35587 (KY)
- Practice address
- 613 Circle Dr
Woodruff, SC 29388-8428 - Phone
- (859) 721-1414
- Fax
- (888) 965-5113
- NPI assigned
- Sep 16, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Preventive Medicine
- Education
- Medical University of South Carolina College of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
390 NE 191St St
Miami, FL 33179-3899
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in AL, KY, SC, FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210820000580 | AL | Practitioner - Family Practice | 4082809769 | |
| I20230106000391 | KY | Practitioner - Preventive Medicine | 4082809769 | |
| I20230504002664 | SC | Practitioner - Preventive Medicine | 4082809769 | |
| I20251203001816 | FL | Practitioner - Preventive Medicine | 4082809769 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37538 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Papa Docs, P.C. | Current |
Accepting new patients | |
| Premise Health of Tennessee Medical PC | Past |
Accepting new patients | |
| CHS Indiana Medical, P.C. | Past |
Accepting new patients |
Locations
390 NE 191st St
Ste 17051
Miami, FL 33179
Phone (786) 432-0117
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | 35587 | KY | Yes |
Addresses
Primary practice location
613 Circle Dr
Woodruff, SC 29388-8428
Mailing address
613 Circle Dr
Woodruff, SC 29388-8428
Phone (859) 721-1414
Other providers in Woodruff, SC
- McAuley Kristina Blackwell
- Kathleen Frances Bott
- William Brady
- Scott Braud
- Ashley Breckenridge
- Brookstone Terrace of Woodruff, LLC
- BST Family Hospice LLC
- Lester Burgess
- Byrd Medical Associates LLC
- Edwin Oscar Byrd III
All providers in Woodruff, SC · Occupational Medicine Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.