Provider Demographics
NPI:1548389612
Name:BREWSTER MEDICAL ASSOCIATES, PC
Entity Type:Organization
Organization Name:BREWSTER MEDICAL ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:A
Authorized Official - Last Name:RHODES
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:508-255-7200
Mailing Address - Street 1:20 GRANITE STATE CT
Mailing Address - Street 2:
Mailing Address - City:BREWSTER
Mailing Address - State:MA
Mailing Address - Zip Code:02631-2127
Mailing Address - Country:US
Mailing Address - Phone:508-255-7200
Mailing Address - Fax:508-347-9801
Practice Address - Street 1:20 GRANITE STATE CT
Practice Address - Street 2:
Practice Address - City:BREWSTER
Practice Address - State:MA
Practice Address - Zip Code:02631-2127
Practice Address - Country:US
Practice Address - Phone:508-255-7200
Practice Address - Fax:508-347-9801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9784365Medicaid
MA610616OtherTUFTS
MAM16197OtherBCBS OF MA
M20566Medicare ID - Type Unspecified