Healthcare Provider Details

I. General information

NPI: 1174688709
Provider Name (Legal Business Name): DEANN GAITHER BREWER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/26/2006
Last Update Date: 03/25/2021
Certification Date: 03/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1632 STATE ROAD 46 E
BATESVILLE IN
47006-8824
US

IV. Provider business mailing address

PO BOX 236
BATESVILLE IN
47006-0236
US

V. Phone/Fax

Practice location:
  • Phone: 844-827-1811
  • Fax:
Mailing address:
  • Phone: 812-933-5441
  • Fax: 812-933-5446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number01042761
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: