Basic Information
| Provider Information | |||||||||
| NPI: | 1588903058 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BREWER | ||||||||
| FirstName: | ALEXANDER | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.P.M. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7642 READING RD | ||||||||
| Address2: | |||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452373204 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5136197766 | ||||||||
| FaxNumber: | 5138104400 | ||||||||
| Practice Location | |||||||||
| Address1: | 7642 READING RD | ||||||||
| Address2: | |||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452373204 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5136197766 | ||||||||
| FaxNumber: | 5138104400 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/04/2013 | ||||||||
| LastUpdateDate: | 06/23/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 07/22/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 213E00000X | 00428 | KY | N | Podiatric Medicine & Surgery Service Providers | Podiatrist | 213ES0103X | P80992 | NY | N | Podiatric Medicine & Surgery Service Providers | Podiatrist | Foot & Ankle Surgery | 213E00000X | 36.003726 | OH | Y | Podiatric Medicine & Surgery Service Providers | Podiatrist |
No ID Information.