Healthcare Provider Details

I. General information

NPI: 1134816564
Provider Name (Legal Business Name): CARMEN BREWER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CARMEN BROTHERS

II. Dates (important events)

Enumeration Date: 04/18/2023
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2022 2ND AVE E
ONEONTA AL
35121-2731
US

IV. Provider business mailing address

1500 1ST AVE N UNIT 3
BIRMINGHAM AL
35203-1866
US

V. Phone/Fax

Practice location:
  • Phone: 205-625-3650
  • Fax:
Mailing address:
  • Phone: 205-545-5088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1-182866
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number37394
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-182866
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: