Provider Demographics
NPI:1487865457
Name:BREWER, BRYAN DANIEL (MD)
Entity Type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:DANIEL
Last Name:BREWER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7200 N HIGHWAY 161 STE 120
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75039-3800
Mailing Address - Country:US
Mailing Address - Phone:214-838-7171
Mailing Address - Fax:214-838-7172
Practice Address - Street 1:7200 N HIGHWAY 161 STE 120
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75039-3800
Practice Address - Country:US
Practice Address - Phone:214-838-7171
Practice Address - Fax:214-838-7172
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2017-04-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXP0172208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery