Organization Active NPI

S Mark Brewer & B Keith Beverly MD PC

  • Internal Medicine Physician
  • Thomasville, GA
National Provider Identifier
1932176039
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
S MARK BREWER & B KEITH BEVERLY MD PC
Practice address
900 Gordon Ave
Thomasville, GA 31799
Phone
(229) 226-1200
Fax
(229) 226-4522
NPI assigned
Mar 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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

Authorized official

Name
Steven Mark Brewer, MDNPI 1952377905
Title
President
Phone
(229) 226-1200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

900 Gordon Ave
Thomasville, GA 31799

Mailing address

PO Box 1059
Thomasville, GA 31799
Phone (229) 226-1200

Other identifiers 1

IdentifierTypeStateIssuer
CG3598OtherGARAIL ROAD MEDICARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1932176039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1059",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "31799",
            "telephone_number": "229-226-1200",
            "fax_number": "229-226-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 GORDON AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "31799",
            "telephone_number": "229-226-1200",
            "fax_number": "229-226-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S MARK BREWER & B KEITH BEVERLY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-226-1200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "CG3598",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.