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NPI Code Detail

MEDICARE: DR. SHERRY RODDY BREWER MD

MEDICARE: DR. SHERRY RODDY BREWER MD
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
1207R00000XInternal Medicine Physician33243KY

General Provider Information

NPI Number : 1598877029
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHERRY RODDY BREWER MD
Provider Business Mailing Address
First Line : 2151 MEETING ST APT 5206
Second Line :
City : LEXINGTON
State : KY
Zip : 40509-4648
Country : US
Telephone Number : 563-508-7156
Fax Number :
Provider Business Practice Location Address
First Line : 2 MIRANOVA PL STE 500
Second Line :
City : COLUMBUS
State : OH
Zip : 43215-7052
Country : US
Telephone Number : 614-321-9743
Fax Number : 614-675-9303
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 06/27/2023

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