Provider Demographics
NPI:1740539014
Name:BREWER, HOLLIS BRYAN JR (MD)
Entity type:Individual
Prefix:DR
First Name:HOLLIS
Middle Name:BRYAN
Last Name:BREWER
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:11410 RIVER RD
Mailing Address - Street 2:SUITE 4B-1
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-1234
Mailing Address - Country:US
Mailing Address - Phone:301-437-4539
Mailing Address - Fax:301-299-6983
Practice Address - Street 1:110 IRVING ST NW
Practice Address - Street 2:SUITE 4B-1
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-3017
Practice Address - Country:US
Practice Address - Phone:202-877-0188
Practice Address - Fax:202-877-7144
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-02
Last Update Date:2018-01-09
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Provider Licenses
StateLicense IDTaxonomies
MDD0037042207R00000X, 282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No282N00000XHospitalsGeneral Acute Care Hospital