- Practice location
- 2090 NE Wyatt CT, Suite 101, Bend, OR 97701-7687
- Phone
- 541-382-6447
- Fax
- 541-330-7413
- Last updated
- January 9, 2017
Dr. Jack A Brewer, MD is a Urology based in Bend, OR. Dr. Jack A Brewer, MD holds the professional credentials of MD. The NPI number for Dr. Jack A Brewer, MD is 1518929439 and holds license No. md14911 (OR). The current practice location address is 2090 NE Wyatt CT, Suite 101, Bend, OR 97701-7687 and the office can be reached by phone at 541-382-6447 and by fax at 541-330-7413. The NPI was assigned on April 5, 2006 and the record was last updated in NPPES on January 9, 2017.
●Provider Profile Details
- NPI Number
- 1518929439
- Provider Name
- Jack Alan Brewer
- Credential
- MD
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Male
- Primary Taxonomy
- Urology · 208800000X
- Sole Proprietor
- No
- Enumeration Date
- April 5, 2006
- Last Update Date
- January 9, 2017
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 2090 NE Wyatt CT
Suite 101
Bend, OR 97701-7687 - City
- Bend
- State
- Oregon
- ZIP
- 97701-7687
- Country
- US
- Phone Number
- 541-382-6447
- Fax Number
- 541-330-7413
✉Business Mailing Address
- Address
- 2090 NE Wyatt CT
Suite 101
Bend, OR 97701-7687 - City
- Bend
- State
- OR
- ZIP
- 97701-7687
- Phone Number
- 541-382-6447
- Fax Number
- 541-330-7413
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Urology | 208800000X | Yes | md14911 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Bend →?Frequently Asked Questions
What is the NPI number of Dr. Jack A Brewer, MD?
The NPI number of Dr. Jack A Brewer, MD is 1518929439. It was assigned on April 5, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Jack A Brewer, MD?
Dr. Jack A Brewer, MD is registered under the primary taxonomy Urology (code 208800000X) and holds license No. md14911 (OR).
Where does Dr. Jack A Brewer, MD practice?
The practice location is 2090 NE Wyatt CT, Suite 101, Bend, OR 97701-7687. The office can be reached at 541-382-6447 (phone) or 541-330-7413 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1518929439 directly on the NPPES registry website at npiregistry.cms.hhs.gov.