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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JUSTIN MICHAEL BREWER, MMS, ATC, PA-C

Active

MR. JUSTIN MICHAEL BREWER, MMS, ATC, PA-C is a Surgical Physician Assistant healthcare provider located in BRIDGEPORT, West Virginia. NPI 1841427937 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · BRIDGEPORT, WV

Registration Details

NPI Number
1841427937
Provider Type
Individual
Gender
Male
NPI Issued
Jun 16, 2009 (17.175341659863 yrs)
Last Updated
May 8, 2014
Licenses
0110003033 (VA)
01518 (WV)
513 (WV)

Practice Information

Address
527 MEDICAL PARK DR STE 400
BRIDGEPORT, WV, 263309010
Browse WV providers · Browse ZIP 26330
Phone
6813423500
Fax
6813423507
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Surgical Physician Assistant
Additional Specialty
Surgical Physician Assistant

Other Surgical Physician Assistant Providers in BRIDGEPORT, WV

Name Credential NPI
ELIJAH BRADLEY DRUMMOND PA-C 1760133946
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.