Provider Demographics
NPI:1437152626
Name:BREWER MEDICAL SERVICES INC
Entity Type:Organization
Organization Name:BREWER MEDICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KELVIN
Authorized Official - Middle Name:D
Authorized Official - Last Name:BREWER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-389-9393
Mailing Address - Street 1:2724 N JACKSON HWY
Mailing Address - Street 2:
Mailing Address - City:SHEFFIELD
Mailing Address - State:AL
Mailing Address - Zip Code:35660-3431
Mailing Address - Country:US
Mailing Address - Phone:256-389-9393
Mailing Address - Fax:256-383-1870
Practice Address - Street 1:2724 N JACKSON HWY
Practice Address - Street 2:
Practice Address - City:SHEFFIELD
Practice Address - State:AL
Practice Address - Zip Code:35660-3431
Practice Address - Country:US
Practice Address - Phone:256-389-9393
Practice Address - Fax:256-383-1870
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BREWER MEDICAL SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-05-23
Last Update Date:2012-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL232332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009601030Medicaid
TN4582364Medicaid
AL051050368OtherBLUE CROSS BLUE SHIELD
SC590015295Medicare NSC
TN4582364Medicaid