Provider Demographics
NPI:1619929817
Name:WOEHR, BRETT MCGEEVER (MD,)
Entity Type:Individual
Prefix:DR
First Name:BRETT
Middle Name:MCGEEVER
Last Name:WOEHR
Suffix:
Gender:F
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 SCHOFIELD RD BLDG 1179
Mailing Address - Street 2:
Mailing Address - City:FORT SAM HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:78234-7577
Mailing Address - Country:US
Mailing Address - Phone:210-916-3000
Mailing Address - Fax:
Practice Address - Street 1:3551 ROGER BROOKE DR
Practice Address - Street 2:
Practice Address - City:FORT SAM HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:78234-4504
Practice Address - Country:US
Practice Address - Phone:210-916-3000
Practice Address - Fax:210-539-2075
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-16
Last Update Date:2019-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200501942207Q00000X
GA049588207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2166629OtherUNITEDHEALTHCARE
GA52964OtherSOUTHCARE
NC5902932Medicaid
NC141TTOtherBLUE CROSS BLUE SHIELD
NC200501942OtherN C MEDICAL BOARD
GA0007335297OtherAETNA
GA5275389OtherCIGNA
GA08CBCMMMedicare PIN
NC141TTOtherBLUE CROSS BLUE SHIELD
NCH49957Medicare UPIN