Active NPI
Herbert Leon Brewer III, DC
- Chiropractor
- Southaven, MS
National Provider Identifier
1740423045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 88-0441715
- Practice address
- 9067 Highway 51 N
Southaven, MS 38671-1230 - Phone
- (901) 270-7420
- NPI assigned
- Apr 16, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 88-0441715 | NV | Primary |
Addresses
Primary practice location
9067 Highway 51 N
Southaven, MS 38671-1230
Mailing address
9067 Highway 51 N
Southaven, MS 38671-1230
Phone (901) 270-7420
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18446 | Other | MS | BCBS OF MS |
| 0141 | Other | MS | PT |
| 709 | Other | MS | STATE OF MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88-0441715 | NV | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239840000000",
"number": "1740423045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9067 HIGHWAY 51 N",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386711230",
"telephone_number": "901-270-7420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9067 HIGHWAY 51 N",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386711230",
"telephone_number": "901-270-7420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWER",
"first_name": "HERBERT",
"middle_name": "LEON",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-16",
"last_updated": "2009-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NV",
"license": "88-0441715",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MS",
"identifier": "18446",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT",
"identifier": "0141",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MS",
"identifier": "709",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Southaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.