Provider Demographics
NPI:1588903058
Name:BREWER, ALEXANDER (DPM)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:
Last Name:BREWER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7642 READING RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45237-3204
Mailing Address - Country:US
Mailing Address - Phone:513-619-7766
Mailing Address - Fax:513-810-4400
Practice Address - Street 1:7642 READING RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45237-3204
Practice Address - Country:US
Practice Address - Phone:513-619-7766
Practice Address - Fax:513-810-4400
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-04
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY00428213E00000X
NYP80992213ES0103X
OH36.003726213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery