Harold Eugene Brewer, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12007324A Issued in IN

Practice address

212 E Winslow Rd
Bloomington, IN 47401-8657

Phone

(812) 336-2846

Fax

(812) 331-1931

NPI assigned

Dec 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Gene Brewer Professional name

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": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750445078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 E WINSLOW RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474018657",
            "telephone_number": "812-336-2846",
            "fax_number": "812-331-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 E WINSLOW RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474018657",
            "telephone_number": "812-336-2846",
            "fax_number": "812-331-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "HAROLD",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12007324A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GENE",
            "last_name": "BREWER",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Emily Brenneman, PHARMD
• Cynthia Bretheim, M.S.
• Jennifer Bretveld, RBT
• Emily Brewer
• Hamilton Clark Brewer, DDS
• Judson L Brewer, MD
• Margie Brewer
• Rebecca B Brewer, MD
• David A Brewster, DPT
• Brian J. Logue MD. PC

• Dentist in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.