Phillip A Brewer (NPI# 1215902556, PAC ID# 4082669403) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1215902556 |
| PAC ID by PECOS | 4082669403 |
| Professional Enrollment ID | I20180412001538 |
| Full Name | Phillip A Brewer |
| Organization Legal Name | SOUTHEASTERN EMERGENCY PHYSICIANS OF MEMPHIS LLC |
| Address |
7245 Raider Rd Bonne Terre MO 63628-3767 |
| Phone Number | 5733581400 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1983 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 5395643209 |
| Number of Group Practice Members | 70 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 261315 | PARKLAND HEALTH CENTER-BONNE TERRE |
| Address | Phone | Organization |
|---|---|---|
| 7245 Raider Rd, Bonne Terre, MO 63628-3767 | 5733581400 | SOUTHEASTERN EMERGENCY PHYSICIANS OF MEMPHIS LLC |
| Organization Legal Name | SOUTHEASTERN EMERGENCY PHYSICIANS OF MEMPHIS LLC |
| Physicians | 55 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Raphael Anthony Carter | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 1451 N Gardner St, Scottsburg, IN 47170-7751 |
| Kent S Sutterer | Osteopathic Manipulative Medicine | Southeastern Emergency Physicians of Memphis LLC | 2 Progress Point Ct, O Fallon, MO 63368-2208 |
| Robert J Evens | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 1400 Hwy 61 S, Festus, MO 63028 |
| William Langston Jr. | Pediatric Medicine | Southeastern Emergency Physicians of Memphis LLC | 910 Blackford St, Chattanooga, TN 37403-1405 |
| Aton Lindon Martin Osbourne | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 1 Memorial Dr, Alton, IL 62002-6722 |
| J Scott Ries | Family Medicine | Southeastern Emergency Physicians of Memphis LLC | 1907 W Sycamore St, Kokomo, IN 46901-5148 |
| Jared L Ross | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 11133 Dunn Rd, Saint Louis, MO 63136-6163 |
| David W Burnside | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 1 Memorial Dr, Alton, IL 62002-6722 |
| Tamarrah C Davis | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 910 Blackford St, Chattanooga, TN 37403-1405 |
| James B Reid | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 1 Memorial Dr, Alton, IL 62002-6722 |
| Street Address |
7245 RAIDER RD |
| City | BONNE TERRE |
| State | MO |
| Zip | 63628-3767 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth A Jones | Family Medicine | Southeastern Emergency Physicians of Memphis LLC | 7245 Raider Rd, Bonne Terre, MO 63628-3767 |
| John T Schwent | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 7245 Raider Rd, Bonne Terre, MO 63628-3767 |
| Alan E Harris | Diagnostic Radiology | Smith Imaging Inc | 7245 Raider Rd, Bonne Terre, MO 63628-3767 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laurie Ann Heaps | Nurse Practitioner | Primary Care of Bonne Terre LLC | 527 Benham St, Bonne Terre, MO 63628-1205 |
| Ronay Rodgers | Nurse Practitioner | Primary Care of Bonne Terre LLC | 527 Benham St, Bonne Terre, MO 63628-1205 |
| Lauren Danielle Mcintyre | Chiropractic | 60 Nesbit Dr D, Complete Care Chiropractic, Bonne Terre, MO 63628-1347 | |
| Taylor M Lumsden | Physical Therapy | Potential Therapy Services LLC | 55 Nesbit Dr, Bonne Terre, MO 63628-1353 |
| Glenda C Counts | Nurse Practitioner | Midwest Health Group Convenient Care | 55 Nesbit Dr, Bonne Terre, MO 63628-1353 |
| Stephanie A Moniz | Family Medicine | Midwest Health Group Convenient Care | 55 Nesbit Dr, Bonne Terre, MO 63628-1353 |
| Victoria A Damba | Family Medicine | Midwest Health Group Convenient Care | 55 Nesbit Dr, Bonne Terre, MO 63628-1353 |
| Kimberly D Combs | Nurse Practitioner | Midwest Health Group Convenient Care | 55 Nesbit Dr, Bonne Terre, MO 63628-1353 |
| Elle L Grither | Nurse Practitioner | Midwest Health Group Convenient Care | 55 Nesbit Dr, Bonne Terre, MO 63628-1353 |
| Kylie Renee Strange | Nurse Practitioner | Midwest Health Group Convenient Care | 55 Nesbit Dr, Bonne Terre, MO 63628-1353 |
| Find all physicians in zip 63628 | |||
| City | BONNE TERRE |
| Zip Code | 63628 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | BONNE TERRE + INTERNAL MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.