JUSTIN M BREWER, MMS, ATC, PA-C, Surgical BRIDGEPORT, WV

Contact Information

JUSTIN M BREWER, MMS, ATC, PA-C

527 MEDICAL PARK DR STE 400
BRIDGEPORT, WV 26330-9010

Phone: 681-342-3500
Fax: 681-342-3507
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Surgical	363AS0400X	97	Physician Assistant
Medical	363AM0700X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for JUSTIN M BREWER · (Male)

NPI #	`1841427937`
Status	Active
Credentials	MMS, ATC, PA-C
Entity	Individual
Enumeration date	06/16/2009
Last updated	05/08/2014 - About 12 years ago
Sole proprietor ¹	No
Identifiers	VA License # 0110003033 WV License # 01518 WV License # 513 WV Other PA37501 MEDICARE PTAN
Hospital affiliation(s)	UNITED HOSPITAL CENTER - (Acute Care) 327 MEDICAL PARK DRIVE BRIDGEPORT, WV 26330

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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JUSTIN M BREWER, MMS, ATC, PA-C – NPI #1841427937Surgical

Contact Information

Specialty

Surgical

Medical

NPI Profile & details for JUSTIN M BREWER · (Male)

Reviews for JUSTIN M BREWER

JUSTIN M BREWER, MMS, ATC, PA-C – NPI #1841427937
Surgical