Active NPI
Christian David Brewer, MPT
- Contractor
- Denison, TX
National Provider Identifier
1962652313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 1128080
- Practice address
- 164 Bob White Rd
Denison, TX 75020-3575 - Phone
- (903) 816-0680
- NPI assigned
- Sep 23, 2008
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 1128080 | TX | Primary |
Addresses
Primary practice location
164 Bob White Rd
Denison, TX 75020-3575
Mailing address
164 Bob White Rd
Denison, TX 75020-3575
Phone (903) 816-0680
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 |
|---|---|---|---|
| 1128080 | TX | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222128000000",
"number": "1962652313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "164 BOB WHITE RD",
"city": "DENISON",
"state": "TX",
"postal_code": "750203575",
"telephone_number": "903-816-0680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 BOB WHITE RD",
"city": "DENISON",
"state": "TX",
"postal_code": "750203575",
"telephone_number": "903-816-0680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWER",
"first_name": "CHRISTIAN",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-23",
"last_updated": "2008-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "TX",
"license": "1128080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denison, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.