Individual
DR. JONATHAN DONALD BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1501 NE MEDICAL CENTER DR, BEND, OR 97701
(541) 382-2811
Mailing address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-2811
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DO150512
OR
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
DO150512
OR
207RP1001X
Pulmonary Disease Physician
02002452A
IN
207RP1001X
Pulmonary Disease Physician
34008950
OH
207RP1001X
Pulmonary Disease Physician
MD150512
OR
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
DO150512
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00890377
MEDICARE RAILROAD
OR
05
—
500622764
—
OR
Enumeration date
02/28/2006
Last updated
01/29/2021
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