Thomas Fordham Brewer MD PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

THOMAS FORDHAM BREWER MD PLLC

Practice address

613 Circle Dr
Woodruff, SC 29388-8428

Phone

(859) 721-1414

NPI assigned

Oct 18, 2022

Last updated

Jul 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas Fordham Brewer, MDNPI 1659604197

Title

Owner

Phone

(859) 721-1414

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas Fordham Brewer, MD

  • Occupational Medicine Physician
  • Woodruff, SC
  • NPI 1659604197
  Authorized official Same address or phone

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689206400000",
    "number": "1740906098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 CIRCLE DR",
            "city": "WOODRUFF",
            "state": "SC",
            "postal_code": "293888428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 CIRCLE DR",
            "city": "WOODRUFF",
            "state": "SC",
            "postal_code": "293888428",
            "telephone_number": "859-721-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS FORDHAM BREWER MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-18",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "FORDHAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-721-1414",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Woodruff, SC
• Providers in Woodruff, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.