DR. TRACI LYNNE BREWER (NPI# 1699782508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699782508 |
| Entity Type | Individual |
| Full Name | DR. TRACI LYNNE BREWER |
| Credential | M.D. |
| Practice Address |
45 Medical Park Dr. Suite B Guntersville AL 35976 |
| Mailing Address |
45 Medical Park Dr. Guntersville AL 35976 |
| Practice Telephone | 2565718969 |
| Practice Fax Number | 2565718980 |
| Mailing Telephone | 2565718969 |
| Mailing Fax Number | 2565718980 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 25372 | AL | Other Service Providers |
| Street Address |
45 MEDICAL PARK DR. SUITE B |
| City | GUNTERSVILLE |
| State | AL |
| Zip Code | 35976 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689681843 | David Jeffery Chupp | Specialist | 45 Medical Park Dr., Suite B, Guntersville, AL 35976 | 2006-08-01 |
| 1851308662 | John M Packard Jr. | Specialist | 45 Medical Park Dr., Suite B, Guntersville, AL 35976 | 2006-08-02 |
| 1558378653 | Tara Desiree Lynd | Specialist | 45 Medical Park Dr., Suite B, Guntersville, AL 35976 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699322818 | Sienna Berryman | Nurse Practitioner | Marshall County Health Department, 150 Judy Smith Drive, Guntersville, AL 35976 | 2019-08-22 |
| 1548821176 | Christopher Leo Harman | Nurse Practitioner | 1084 Heritage Dr, Guntersville, AL 35976 | 2019-06-25 |
| 1134685324 | Jennifer Lynn Sanders | Nurse Practitioner | Marshall Medical Center North, 8000 Alabama Hwy 69, Guntersville, AL 35976 | 2019-02-13 |
| 1841761814 | Emily Defourneaux | Nurse Practitioner | 8000 Al-69, Guntersville, AL 35976 | 2018-12-16 |
| 1447746433 | Christina Turner Godfrey | Nurse Practitioner | 7938 Al-69, Suite 130, Guntersville, AL 35976 | 2018-07-02 |
| 1871014969 | Katherine Greer Kennedy | Optometrist | 390 Gunter Ave, Guntersville, AL 35976 | 2017-06-29 |
| 1225577349 | Katie Giles | Nurse Practitioner | 55 Rowe Dr Ste A, Guntersville, AL 35976 | 2017-02-22 |
| 1700217551 | Jubal Matthews | Chiropractor | 12844 Suite B U.s Hwy 431, Guntersville, AL 35976 | 2013-12-04 |
| 1326479171 | Jubilee Family Chiropractic LLC | Chiropractor | 12844 Suite B. U.S. Hwy 431, Guntersville, AL 35976 | 2013-12-04 |
| 1407286776 | Lashae Watkins | Physician Assistant | 8000 Alabama Hwy 69, Guntersville, AL 35976 | 2013-11-22 |
| Find all providers in zip 35976 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689681843 | David Jeffery Chupp | Specialist | 45 Medical Park Dr., Suite B, Guntersville, AL 35976 | 2006-08-01 |
| 1043242514 | Marshall County Pediatrics, PC | Specialist | 45 Medical Park Dr Ste B, Guntersville, AL 35976-6999 | 2006-07-07 |
| 1720069230 | Donald C Martin Jr. | Specialist | 5903 Spring Cir, Guntersville, AL 35976-2811 | 2005-11-10 |
| 1225034770 | Winter B Wilson | Specialist | 55 Rowe Dr, Ste C, Guntersville, AL 35976-7366 | 2005-06-21 |
| 1639350507 | Judy C Simpson | Specialist | 2409 Homer Clayton Dr, Guntersville, AL 35976-2207 | 2007-11-20 |
| 1659563385 | Lucinda Humphries | Specialist | 2409 Homer Clayton Dr, Guntersville, AL 35976-2207 | 2007-08-16 |
| 1780890319 | Marshall Orthopedics PC | Specialist | 38 Rowe Dr, Guntersville, AL 35976-7367 | 2007-05-14 |
| 1265581953 | Janice Lynn Remita | Specialist | 2409 Homer Clayton Dr, Guntersville, AL 35976-2207 | 2007-01-10 |
| 1811085145 | Amanda Lauren Williams | Specialist | 2409 Homer Clayton Dr, Guntersville, AL 35976-2207 | 2006-10-11 |
| 1417041195 | Mona Rae Moses | Specialist | 2409 Homer Clayton Dr, Guntersville, AL 35976-2207 | 2006-10-03 |
| Find all providers in GUNTERSVILLE | ||||
| City | GUNTERSVILLE |
| Zip Code | 35976 |
Please comment or provide details below to improve the information on DR. TRACI LYNNE BREWER.
| 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.