MEDICARE: BREWER MEDICAL SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	232	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	051050368	OTHER	AL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1437152626
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BREWER MEDICAL SERVICES INC

Provider Business Mailing Address
First Line	:	2724 N JACKSON HWY
Second Line	:
City	:	SHEFFIELD
State	:	AL
Zip	:	35660-3431
Country	:	US
Telephone Number	:	256-389-9393
Fax Number	:	256-383-1870

Provider Business Practice Location Address
First Line	:	2724 N JACKSON HWY
Second Line	:
City	:	SHEFFIELD
State	:	AL
Zip	:	35660-3431
Country	:	US
Telephone Number	:	256-389-9393
Fax Number	:	256-383-1870

Authorized Official
Title or Position	:	OWNER
Name	:	KELVIN D BREWER
Credential	:
Telephone Number	:	256-389-9393

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	07/02/2012

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Directions to “BREWER MEDICAL SERVICES INC ” Practice Location

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