KENNETH R BREWER (NPI# 1760415657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760415657 |
| Entity Type | Individual |
| Full Name | KENNETH R BREWER |
| Credential | DPM |
| Practice Address |
1708 Yakima Ave Ste 110 Tacoma WA 98405-5307 |
| Practice Telephone | 2536279151 |
| Mailing Telephone | 2536279151 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2010-11-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO00000585 | WA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | STATE CRIME VICTIMS | 8936260 | 01 |
| WA | STATE L&I | 0226419 | 01 |
| WA | 8311193 | 05 | |
| WA | MEDICARE RAILROAD | 480033768 | 01 |
| WA | STATE L&I | 0158901 | 01 |
| WA | MEDICARE RAILROAD | 480033767 | 01 |
| WA | STATE L&I | 158900 | 01 |
| WA | STATE CRIME VICTIMS | 8936261 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871089052 | Kenneth D Brewer | Dietitian, Registered | 915 W Northern Lights Blvd, Anchorage, AK 99503-2408 | 2018-07-10 |
| Street Address |
1708 YAKIMA AVE STE 110 |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-5307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598758484 | Manuel Guillermo Iregui | Internal Medicine | 1708 Yakima Ave, Suite 300, Tacoma, WA 98405-5307 | 2005-08-25 |
| 1356962401 | Austin Frazer Forbes | Surgery | 1708 Yakima Ave, Tacoma, WA 98405-5307 | 2020-04-29 |
| 1982146684 | Sharleen Huon | Pharmacist | 1708 Yakima Ave, Suite 203, Tacoma, WA 98405-5307 | 2016-11-11 |
| 1053853903 | Christine Ibrahim | Pharmacist | 1708 Yakima Ave, Suite 203, Tacoma, WA 98405-5307 | 2016-11-09 |
| 1598207524 | Inna Vasilyev | Pharmacist | 1708 Yakima Ave, Suite 203, Tacoma, WA 98405-5307 | 2016-11-08 |
| 1346782562 | Shawn Hagland | Pharmacist | 1708 Yakima Ave, Suite 203, Tacoma, WA 98405-5307 | 2016-11-07 |
| 1427500867 | Ferowsi Pecoraro | Pharmacist | 1708 Yakima Ave, Suite 203, Tacoma, WA 98405-5307 | 2016-11-02 |
| 1700338530 | Cynthia Hinds | Pharmacist | 1708 Yakima Ave, Suite 203, Tacoma, WA 98405-5307 | 2016-10-27 |
| 1114477064 | Kayla Grzybowski | Pharmacist | 1708 Yakima Ave, Suite 203, Tacoma, WA 98405-5307 | 2016-10-04 |
| 1619427515 | Jessica Chung | Pharmacist | 1708 Yakima Ave, Suite 203, Tacoma, WA 98405-5307 | 2016-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265844385 | Kaitlyn Leigh Laube Ward | Podiatrist | 7808 Pacific Ave Ste 1, Tacoma, WA 98408 | 2014-05-22 |
| 1245379486 | W Joseph Barrett | Podiatrist | 2811 S 12th St, Tacoma, WA 98405-2746 | 2007-02-05 |
| 1407886617 | Rebecca E Brickman | Podiatrist | 7808 Pacific Ave 1, Tacoma, WA 98408-7039 | 2006-07-04 |
| 1124085709 | Eric Edward Leonheart | Podiatrist | 9040 Jackson Avenue Madigan Army Medical Center, Tacoma, WA 98431-5820 | 2006-04-27 |
| 1508825449 | Ha Quang Nguyen | Podiatrist | 1206 S 11th St, Bldg 2, Tacoma, WA 98405-4099 | 2006-03-20 |
| 1396740254 | Dennis Huang | Podiatrist | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2005-06-16 |
| 1144756677 | Chalee Yimyam | Podiatrist | 9040 Jackson Ave, Tacoma, WA 98431-7711 | 2017-05-03 |
| 1679926398 | Kyle Kenoyer | Podiatrist | 7808 Pacific Ave Ste 1, Tacoma, WA 98408-7039 | 2016-07-18 |
| 1619270923 | Jacob Dean Thompson | Podiatrist | 9040-a Fitzsimmons Dr, Tacoma, WA 98431-1100 | 2010-12-08 |
| 1386970879 | Franciscan Medical Group | Podiatrist | 2420 S Union Ave, Ste 300, Tacoma, WA 98405-1322 | 2009-10-19 |
| Find all providers in TACOMA | ||||
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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.