Jack Alan Brewer is a Urology in Bend, Oregon. Jack Alan Brewer practices all healthcare services and medical treatments related to Urology. The NPI Number for Jack Alan Brewer is 1518929439. The last update date is 2017-01-09.
Jack Alan Brewer's current location address is 2090 Ne Wyatt Ct, Bend, Oregon. You can contact this provider via phone number 5413826447 and fax number 5413307413. The mailing address for Jack Alan Brewer is 2090 Ne Wyatt Ct, Bend, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Alan Brewer |
|---|---|
| Address | 2090 Ne Wyatt Ct, Bend, Oregon |
| Phone Number | 5413826447 |
| Fax Number | 5413307413 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1518929439 |
|---|---|
| Provider Enumeration Date | 2006-04-05 |
| Last Updated Date | 2017-01-09 |
Provider Mailing Address Detail
| Address | 2090 Ne Wyatt Ct |
|---|---|
| City | Bend |
| State | Oregon (OR) |
| Post Code | 977017687 |
| Phone Number | 5413826447 |
| Fax Number | 5413307413 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | MD14911 |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 113050 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jack Alan Brewer by the Centers for Medicare & Medicaid Services?
The Jack Alan Brewer has been issued the NPI (National Provider Identifier) 1518929439, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jack Alan Brewer is located?
The Jack Alan Brewer is situated at the following address: 2090 Ne Wyatt Ct, Bend, OR, 977017687.
What is Jack Alan Brewer's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jack Alan Brewer is Urology, and the taxonomy code that classifies this field of practice is 208800000X.
When did Jack Alan Brewer receive its 1518929439 assignment?
The Jack Alan Brewer was assigned its 1518929439 on 2006-04-05, which is the date when this unique identifier was issued to the organization.
As of what date were the Jack Alan Brewer's details last updated?
The information pertaining to the Jack Alan Brewer, including its address, specialty, and other details, was most recently updated on 2017-01-09.
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