Healthcare Provider Details

I. General information

NPI: 1841432614
Provider Name (Legal Business Name): JEFFREY BREWER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: JEFF BREWER M.D.

II. Dates (important events)

Enumeration Date: 03/25/2009
Last Update Date: 12/15/2023
Certification Date: 12/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 CENTER ST
MOBILE AL
36604-1541
US

IV. Provider business mailing address

PO BOX 746450
ATLANTA GA
30374-6450
US

V. Phone/Fax

Practice location:
  • Phone: 251-665-8200
  • Fax: 251-665-8210
Mailing address:
  • Phone: 866-401-3057
  • Fax: 318-868-6430

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME158067
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD.34487
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: