DR. PHILLIP A. BREWER (NPI# 1215902556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215902556 |
| Entity Type | Individual |
| Full Name | DR. PHILLIP A. BREWER |
| Credential | MD |
| Practice Address |
7245 Raider Rd Bonne Terre MO 63628-3767 |
| Mailing Address |
140 Milford Point Rd Milford CT 06460-5224 |
| Practice Telephone | 2033764684 |
| Mailing Telephone | 2033764684 |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2020-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 028925 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | CT LICENSE | 028925 | 01 |
| Street Address |
7245 RAIDER RD |
| City | BONNE TERRE |
| State | MO |
| Zip Code | 63628-3767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902150444 | Bc Missouri Emergency Physicians LLP | Emergency Medicine | 7245 Raider Rd, Bonne Terre, MO 63628-3767 | 2012-11-06 |
| 1932117173 | Parkland Health Center | General Acute Care Hospital | 7245 Raider Rd, Bonne Terre, MO 63628-3767 | 2006-08-03 |
| 1356368815 | Michael Gaertner | Emergency Medicine | 7245 Raider Rd, Bonne Terre, MO 63628-3767 | 2006-07-17 |
| 1225055783 | Peter Gardiner | Emergency Medicine | 7245 Raider Rd, Bonne Terre, MO 63628-3767 | 2006-07-17 |
| 1164449708 | Ralph Leigh | Emergency Medicine | 7245 Raider Rd, Bonne Terre, MO 63628-3767 | 2006-07-17 |
| 1730106287 | Michael Clippard | Emergency Medicine | 7245 Raider Rd, Bonne Terre, MO 63628-3767 | 2006-07-17 |
| 1982620852 | Robert Cralle | Emergency Medicine | 7245 Raider Rd, Bonne Terre, MO 63628-3767 | 2006-07-14 |
| 1679599518 | Gerardo Gutierrez | Emergency Medicine | 7245 Raider Rd, Bonne Terre, MO 63628-3767 | 2006-07-14 |
| 1952326621 | Bc Missouri Emergency Physicians, LLP | Physician Assistant | 7245 Raider Rd, Bonne Terre, MO 63628-3767 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437675477 | Kybama, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 12729 Stoney Point Rd, Bonne Terre, MO 63628 | 2017-08-22 |
| 1295092500 | Jak Properties Inc | In Home Supportive Care | 522 Benham St, Suite B, Bonne Terre, MO 63628 | 2012-04-12 |
| 1013121599 | Joseph Richard Engel | Dentist | 20 W Johnson St, Bonne Terre, MO 63628 | 2007-05-10 |
| 1215093844 | Debra Long Morgan | Dentist | 20 West Johnson Street, Bonne Terre, MO 63628 | 2006-12-28 |
| 1497811459 | Robert Oliver Greenwald | Dentist | #20 W Johnson, Bonne Terre, MO 63628 | 2006-12-27 |
| 1255964508 | American Nursing & Rehab LLC | Assisted Living Facility | 10 Lake Drive, Bonne Terre, MO 63628 | 2020-02-14 |
| 1962679746 | Robert O Greenwald Dds PC | Dentist | #20 W Johnson, Bonne Terre, MO 63628 | 2008-05-12 |
| 1427045004 | Pairat Vibulakaopun | Internal Medicine | 527 Benham St, Bonne Terre, MO 63628-1205 | 2005-09-29 |
| 1124014030 | Kenny Ratana | Radiology | 527 Benham St # B, Bonne Terre, MO 63628-1205 | 2005-09-26 |
| 1669017315 | Patricia Ann Peterson | Nurse Practitioner | 527 Benham St, Bonne Terre, MO 63628-1205 | 2019-11-15 |
| Find all providers in zip 63628 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902150444 | Bc Missouri Emergency Physicians LLP | Emergency Medicine | 7245 Raider Rd, Bonne Terre, MO 63628-3767 | 2012-11-06 |
| 1356368815 | Michael Gaertner | Emergency Medicine | 7245 Raider Rd, Bonne Terre, MO 63628-3767 | 2006-07-17 |
| 1225055783 | Peter Gardiner | Emergency Medicine | 7245 Raider Rd, Bonne Terre, MO 63628-3767 | 2006-07-17 |
| 1164449708 | Ralph Leigh | Emergency Medicine | 7245 Raider Rd, Bonne Terre, MO 63628-3767 | 2006-07-17 |
| 1730106287 | Michael Clippard | Emergency Medicine | 7245 Raider Rd, Bonne Terre, MO 63628-3767 | 2006-07-17 |
| 1982620852 | Robert Cralle | Emergency Medicine | 7245 Raider Rd, Bonne Terre, MO 63628-3767 | 2006-07-14 |
| 1679599518 | Gerardo Gutierrez | Emergency Medicine | 7245 Raider Rd, Bonne Terre, MO 63628-3767 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053972349 | Alanna Diamond | Emergency Medicine | One Hospital Drive Emergency Medicine M652 Dc029.10, Columbia, MO 65212-0001 | 2019-06-26 |
| 1013573146 | Michael Habhab | Emergency Medicine | 1 Hospital Dr Emergency Medicine M562 Dc029.10, Columbia, MO 65212-0001 | 2019-05-14 |
| 1043730716 | Ian James Becker | Emergency Medicine | 1 Hospital Dr # Dc029.10, Columbia, MO 65212-1000 | 2017-06-23 |
| 1649628454 | Sphere Medical Group | Emergency Medicine | 916 Olive St Fl 4, Saint Louis, MO 63101-1459 | 2016-06-02 |
| 1487002523 | Christopher Adam Waranch | Emergency Medicine | University of Missouri Columbia, Department of Emergency Medicine, Columbia, MO 65212-0001 | 2016-05-31 |
| 1306220488 | Andrea Marie-gioia Spangler | Emergency Medicine | 1235 E Cherokee St Dept Of, Springfield, MO 65804-2203 | 2015-07-17 |
| 1205219045 | Maria Christina Creel-bulos | Emergency Medicine | 660 South Euclid Avenue Cb 8072, St Louis, MO 63110 | 2015-06-29 |
| 1669853230 | Megan Litzau | Emergency Medicine | 615 S New Ballas Road, St Louis, MO 63141 | 2015-06-09 |
| 1366829426 | Bigeye Emergency Physicians LLC | Emergency Medicine | 10 South Hospital Deive, Fulton, MO 65251 | 2015-04-28 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| Find all providers with the same taxonomy | ||||
| City | BONNE TERRE |
| Zip Code | 63628 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.