MR. RANDALL JACKSON BREWER (NPI# 1255324810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255324810 |
| Entity Type | Individual |
| Full Name | MR. RANDALL JACKSON BREWER |
| Credential | MD |
| Practice Address |
1937 Aviara Dr Chattanooga TN 37421 |
| Practice Telephone | 4235536012 |
| Practice Fax Number | 4234900140 |
| Mailing Telephone | 4235536012 |
| Mailing Fax Number | 4234900140 |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
GA030274 | GA | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
TN010233 | TN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538130018 | Randall P. Brewer | Anesthesiology | 8731 Park Plaza Dr, Shreveport, LA 71105 | 2006-01-31 |
| 1770677148 | Randall G Brewer | Family Medicine | Pmg Atrisco, 3901 Atrisco Nw, Albuquerque, NM 87120 | 2006-10-03 |
| Street Address |
1937 AVIARA DR |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
| 1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
| 1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
| 1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
| 1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
| 1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
| 1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
| 1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
| 1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
| 1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
| Find all providers in zip 37421 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942411103 | Aimee Rox Coleman | Psychiatry & Neurology | 6098 Debra Rd Ste 100, Chattanooga, TN 37411-5702 | 2007-05-26 |
| 1316002652 | Timothy Ray Jennings | Psychiatry & Neurology | 6148 Lee Hwy Ste 200, Chattanooga, TN 37421-3045 | 2006-12-27 |
| 1588750640 | Angelina A Supan | Psychiatry & Neurology | 1028 E 3rd St, Chattanooga, TN 37403-2107 | 2006-10-05 |
| 1801998455 | Willis Henry Marshall | Psychiatry & Neurology | 420 Bell Ave, Chattanooga, TN 37405-3404 | 2006-09-03 |
| 1588772545 | Oliver Lee Gregory | Psychiatry & Neurology | 7345 Courage Way, Ste 101, Chattanooga, TN 37421-1555 | 2006-08-29 |
| 1851319065 | Mari Lynn Lilly | Psychiatry & Neurology | 901 Mountain Creek Rd, Suite 200, Chattanooga, TN 37405-4501 | 2006-07-17 |
| 1821028788 | Jane F Gumnick | Psychiatry & Neurology | 119 S Moore Rd, Chattanooga, TN 37411-4806 | 2006-07-04 |
| 1194755124 | Sarath Gangavarapu | Psychiatry & Neurology | 1510 Gunbarrel Rd, Suite 120, Chattanooga, TN 37421-7174 | 2006-07-04 |
| 1598713166 | Mark Oliver Jennings | Psychiatry & Neurology | 7446 Shallowford Road, Suite 104, Chattanooga, TN 37341 | 2006-05-05 |
| 1689654493 | Ferdinand Armas | Psychiatry & Neurology | 5811 Lee Hwy, Suite 410, Chattanooga, TN 37421-6100 | 2006-01-18 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37421 |
Please comment or provide details below to improve the information on MR. RANDALL JACKSON BREWER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.