DR. JOHN RYAN BREWER (NPI# 1720210933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720210933 |
Entity Type | Individual |
Full Name | DR. JOHN RYAN BREWER |
Credential | DO |
Practice Address |
2200 Bergquist Dr Ste 1 Attn: Credentials (cmc) Lackland Afb TX 78236-9908 |
Practice Telephone | 2102926707 |
Practice Fax Number | 2102927964 |
Mailing Telephone | 2102926707 |
Mailing Fax Number | 2102927964 |
Enumeration Date | 2009-08-20 |
Last Update Date | 2016-12-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207W00000X | Ophthalmology | 24706 | MS | Allopathic & Osteopathic Physicians |
Y | 207W00000X | Ophthalmology | N7685 | TX | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316248081 | John M. Brewer Jr. | Dermatology | 212 S Matson St, Kershaw, SC 29067-1506 | 2010-11-10 |
1548268584 | John Brewer | Pediatrics | 708 Overton St, Newport, KY 41071-2065 | 2005-07-13 |
1326687807 | John J Brewer | Counselor | 224 Alexander St, Rochester, NY 14607-4000 | 2019-12-31 |
1629611785 | John Brewer | Nurse Practitioner | 2755 Colonial Dr, Helena, MT 59601-4926 | 2019-10-22 |
1275193617 | John Brewer | Social Worker | 4353 E Colfax Ave, Denver, CO 80220-1115 | 2019-06-18 |
1881164465 | John Brewer | Behavior Technician | 601 University Ave. Ste 175, Sacramento, CA 95825 | 2018-11-27 |
1285087692 | John Brewer | Counselor | 1816 Scenic Ave, Berkeley, CA 94709-1324 | 2016-07-20 |
1205113966 | John G Brewer | Counselor | 1312 N Meridian Rd, Kalispell, MT 59901-3095 | 2011-11-09 |
1124218359 | John B Brewer | Nurse Practitioner | 463 Sam Ridley Pkwy W, Smyrna, TN 37167-5626 | 2007-07-25 |
1588702948 | John Brewer | Pharmacist | 1400 Pottery Ave, Port Orchard, WA 98366-3711 | 2007-02-01 |
Street Address |
2200 BERGQUIST DR STE 1 ATTN: CREDENTIALS (CMC) |
City | LACKLAND AFB |
State | TX |
Zip Code | 78236-9908 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427041979 | Terence Gerald Benson Jr. | Pharmacist | 2200 Bergquist Dr Ste 1, Lackland Afb, TX 78236-9908 | 2005-08-30 |
1972031011 | George Benson | General Practice | 2200 Bergquist Dr Ste 1, Lackland Afb, TX 78236-9908 | 2017-06-02 |
1467984187 | Trevor Edgington | General Practice | 2200 Bergquist Dr Ste 1, Lackland Afb, TX 78236-9908 | 2017-03-31 |
1376938399 | Colette Poole-boykin | Student in an Organized Health Care Education/Training Program | 2200 Bergquist Dr Ste 1, Ste 1, Lackland Afb, TX 78236-9908 | 2015-04-06 |
1023256815 | Risa Cavalcanti Riepma | Dietitian, Registered | 2200 Bergquist Dr Ste 1, Attn: Credentials (cmc), Lackland Afb, TX 78236-9908 | 2009-02-02 |
1073767117 | Susan Wright Mongeau | Dentist | 2200 Bergquist Dr Ste 1, Lackland Afb, TX 78236-9908 | 2008-11-14 |
1053571018 | Brian Michael Fitzgerald | Anesthesiology | 2200 Bergquist Dr Ste 1, Lackland Afb, TX 78236-9908 | 2008-06-12 |
1760649297 | Rayna Lane Wooten | Dietitian, Registered | 2200 Bergquist Dr Ste 1, Lackland Afb, TX 78236-9908 | 2008-05-21 |
1235309659 | Margaret Bonnie Cole | Pharmacist | 2200 Bergquist Dr Ste 1, Lackland Afb, TX 78236-9908 | 2008-03-03 |
1134397953 | Jean Rae Facchini | Dietitian, Registered | 2200 Bergquist Dr Ste 1, Attn: Credentials (cmc), Lackland Afb, TX 78236-9908 | 2008-02-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063047363 | Arnoldo Arturo Gonzalez Jr. | Specialist/Technologist | 1033 Truemper St, Lackland Afb, TX 78236 | 2020-03-06 |
1023643343 | Meredith Grace Cockerell | Specialist/Technologist | W Military Drive, San Antonio, TX 78236 | 2020-03-06 |
1578120598 | Hali Rashelle Hall | Dentist | 1615 Truemper St, Blg 6418, Attn: 59ds/sgdn, Jbsa Lackland, TX 78236 | 2019-05-24 |
1952967077 | Paul Fianza Boseman | Nurse Practitioner | 1106 Wilford Hall Loop, San Antonio, TX 78236 | 2019-05-14 |
1689161978 | Kelly Jones Buckshire | Dentist | Dunn Dental Clinic, 1615 Truemper Rd, San Antonio, TX 78236 | 2018-04-23 |
1902308570 | Roger Louis Farney | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop Bldg. 4554, Jbsa Lackland Afb, TX 78236 | 2018-02-28 |
1568916856 | Thomas Maxwell Woolf | Dentist | 1100 Wilford Hall Ambulatory Surgical Center, Lackland Afb, TX 78236 | 2016-08-04 |
1831544956 | Michael Veronneau | Student in an Organized Health Care Education/Training Program | 59 Mdw/ge 1100 Wilford Hall Loop, Bldg. 4554, Jbsa Lackland, TX 78236 | 2016-04-26 |
1376906958 | David Kephart Jr. | General Practice | 1100 Wilford Hall Loop Bldg 4454, Jbsa Lackland, TX 78236 | 2016-04-01 |
1184084089 | Olivia Arballo | Dermatology | Wilford Hall Asc, Attn: Dept of Dermatology, 1100 Wilford Hall Loop Bldg 4554, Jbsa-lackland, TX 78236 | 2016-03-04 |
Find all providers in zip 78236 |
Taxonomy Code | 207W00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Ophthalmology |
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487640785 | Chantal Cousineau-krieger | Ophthalmology | 59th Medical Winge Ge, 2200 Bergquist Drive Ste 1, Lackland Afb, TX 78236-9908 | 2005-09-22 |
1609267681 | Karina Bostwick | Ophthalmology | 1100 Wilford Hall Loop, Lackland Afb, TX 78236-5638 | 2015-02-11 |
1386967982 | Charisma Bautista Evangelista | Ophthalmology | 1100 Wilford Hall Loop Bldg 4554, Lackland Afb, TX 78236 | 2010-03-10 |
1518124429 | Aaron Daniel Grant | Ophthalmology | 1100 Wilford Hall Loop Bldg 4554, Lackland Afb, TX 78236 | 2008-05-19 |
1407046709 | Jane Ballard Ward | Ophthalmology | 2200 Bergquist Dr Ste 1, 59th Mdw/ Wilford Hall Medical Center, Lackland Afb, TX 78236-9908 | 2007-08-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215537402 | Dr. Rachel Gelmans Vision P.a. | Ophthalmology | 5201 North G Street, Mcallen, TX 78504 | 2020-10-28 |
1922634294 | Waco Ophthalmology, Pllc | Ophthalmology | 602 W Highway 6, Waco, TX 76712 | 2020-03-19 |
1962050492 | Precision Ambulatory Surgery Center, LLC | Ophthalmology | 9439 North Beach Street, Fort Worth, TX 76244 | 2019-08-28 |
1275180135 | Texas Eye Doctors, P.a. | Ophthalmology | 4501 Medical Center Dr Ste 300, Mckinney, TX 75069-6802 | 2019-08-23 |
1760036990 | Ward Dittmar Heinrich Jr. | Ophthalmology | 3295 Lockhill Selma Rd, San Antonio, TX 78230-3024 | 2019-07-25 |
1265091300 | Sheila Barbarino, Md Inc. | Ophthalmology | 1100 S Lamar Blvd Ste 2120, Austin, TX 78704-0380 | 2019-06-12 |
1487213872 | Mann Eye Center, Pa | Ophthalmology | 1530 Sun City Blvd Ste 150, Georgetown, TX 78633-5353 | 2019-06-10 |
1609432210 | J.w. Eye Associates, Pa | Ophthalmology | 11445 Dallas Pkwy Ste 290, Frisco, TX 75033-4257 | 2019-05-20 |
1376000737 | Nadim Sami Nassif | Ophthalmology | 5150 Hidalgo St Unit 403, Houston, TX 77056-6409 | 2019-02-21 |
1073087706 | Laser Sight, Lp | Ophthalmology | 6500 N Mo Pac Expy Ste 2101, Austin, TX 78731-3282 | 2019-01-16 |
Find all providers with the same taxonomy |
City | LACKLAND AFB |
Zip Code | 78236 |
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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.