Brewer Healthcare Clinic, LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R544787 Issued in MS

Legal business name

BREWER HEALTHCARE CLINIC, LLC

Practice address

610 Hwy 80
Pelahatchie, MS 39145

Phone

(601) 854-5044

Fax

(601) 854-8448

NPI assigned

Jan 6, 2010

Organization subpart

No

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

Authorized official

Name

Linda Brewer

Title

Onwer

Phone

(601) 854-5044

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262736000000",
    "number": "1821328360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 445",
            "city": "PELAHATCHIE",
            "state": "MS",
            "postal_code": "391450445",
            "telephone_number": "601-854-5044",
            "fax_number": "601-854-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 HWY 80",
            "city": "PELAHATCHIE",
            "state": "MS",
            "postal_code": "39145",
            "telephone_number": "601-854-5044",
            "fax_number": "601-854-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREWER HEALTHCARE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-06",
        "last_updated": "2010-01-06",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "ONWER",
        "authorized_official_telephone_number": "601-854-5044"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R544787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bew Enterprises, Inc.
• Shellie V Breland, DDS
• Linda Brewer, NP
• Care Plus Pelahatchie Clinic
• Shanna Posey Davis, RN
• Christy Scafidel Emerson, LCMHT
• Erin Irby Fairley, LCSW

• Nurse Practitioner in Pelahatchie, MS
• Providers in Pelahatchie, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; 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.