BENJAMIN BREWER (NPI# 1265835953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265835953 |
| Entity Type | Individual |
| Full Name | BENJAMIN BREWER |
| Credential | PA-C |
| Practice Address |
601 Gateway Blvd N Chesterton IN 46304-9658 |
| Practice Telephone | 2199211444 |
| Practice Fax Number | 2199266926 |
| Mailing Telephone | 2199211444 |
| Mailing Fax Number | 2199266926 |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2016-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
10001737A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871096057 | Benjamin Brewer Iv | Case Manager/Care Coordinator | 1490 E Main St, Columbus, OH 43205-2140 | 2018-03-14 |
| 1306083621 | Benjamin Brewer | Counselor | 600 3rd St, Lake Elsinore, CA 92530-2748 | 2009-01-08 |
| 1184618258 | Benjamin Emert Brewer | Family Medicine | 122 E Wabash Ave, Forrest, IL 61741-0058 | 2005-09-06 |
| Street Address |
601 GATEWAY BLVD N |
| City | CHESTERTON |
| State | IN |
| Zip Code | 46304-9658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295733889 | Paul J Gruszka | Orthopaedic Surgery | 601 Gateway Blvd N, Chesterton, IN 46304-9658 | 2005-07-08 |
| 1639778970 | Austin Tyler Qualizza | Physician Assistant | 601 Gateway Blvd N, Chesterton, IN 46304-9658 | 2020-10-19 |
| 1477184281 | Julia M Campbell | Occupational Therapist | 601 Gateway Blvd N, Chesterton, IN 46304-9658 | 2020-01-30 |
| 1609438910 | Ma Carmel Quijada Breidigan | Registered Nurse | 601 Gateway Blvd N, Chesterton, IN 46304-9658 | 2019-07-08 |
| 1962984294 | Megan Vittetoe | Nurse Practitioner | 601 Gateway Blvd N, Chesterton, IN 46304-9658 | 2018-09-04 |
| 1841790672 | Cassie R Layne | Nurse Practitioner | 601 Gateway Blvd N, Chesterton, IN 46304-9658 | 2018-02-19 |
| 1760992986 | Seth R Hardy | Physical Therapy Assistant | 601 Gateway Blvd N, Chesterton, IN 46304-9658 | 2017-10-02 |
| 1598275711 | Jodi King | Physical Therapy Assistant | 601 Gateway Blvd N, Chesterton, IN 46304-9658 | 2017-10-02 |
| 1689038432 | Donna Persin | Physical Therapy Assistant | 601 Gateway Blvd N, Chesterton, IN 46304-9658 | 2016-04-07 |
| 1235598939 | Alice Hawkins | Physical Therapy Assistant | 601 Gateway Blvd N, Chesterton, IN 46304-9658 | 2016-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184274268 | Trinity Healthcare Inc. | Occupational Therapist | 2300 Village Point, Chesterton, IN 46304 | 2019-09-19 |
| 1962987206 | Kara Polus | Physical Therapy Assistant | 1595 S Calumet Rd Suite 3, Chesterton, IN 46304 | 2018-10-02 |
| 1275024481 | Karson Rice | Developmental Therapist | 1595 S Calumet Rd, Suite 3, Chesterton, IN 46304 | 2018-05-23 |
| 1720527765 | Alina Broski I | Occupational Therapy Assistant | 1120 S. Calument Road, Suite 3, Chesterton, IN 46304 | 2017-02-22 |
| 1538612015 | Muhammad Ziad Souqiyyeh | Internal Medicine | 3100 Village Pt Ste 102, Chesterton, IN 46304 | 2016-08-01 |
| 1942671656 | Samantha Stremich | Psychologist | 1496 Pope Ct # 2, Chesterton, MI 46304 | 2015-10-08 |
| 1669852299 | Deborah Joan Krause | Physical Therapy Assistant | 780 Dickinson Rd., Addison Pointe Health & Rehab Center, Chesterton, IN 46304 | 2015-06-09 |
| 1538462338 | Sunil Patel Md. P.C. | Internal Medicine | 1140 S. Calumet Road, Suite #2, Chesterton, IN 46304 | 2010-12-16 |
| 1629301981 | Lindsay Allison Munden | Nurse Practitioner | 505 County Road 1100 North, Chesterton, IN 46304 | 2009-09-17 |
| 1881851509 | Total Renal Care Inc | Clinic/Center | 711 Plaza Dr, Ste 6, Chesterton, IN 46304 | 2008-05-20 |
| Find all providers in zip 46304 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912345166 | Joshua M Allen | Physician Assistant | 601 Gateway Blvd N, Chesterton, IN 46304-9658 | 2013-06-10 |
| 1477863264 | Ahlam N Wolf | Physician Assistant | 601 Gateway Blvd N, Chesterton, IN 46304-9658 | 2010-10-14 |
| 1932416120 | Jason R Wolf | Physician Assistant | 601 Gateway Blvd N, Chesterton, IN 46304-9658 | 2010-09-09 |
| 1295961944 | Natalie R Fox | Physician Assistant | 601 Gateway Blvd N, Chesterton, IN 46304-9658 | 2009-06-09 |
| 1366678088 | Emily A Damitz | Physician Assistant | 601 Gateway Blvd N, Chesterton, IN 46304-9658 | 2009-06-09 |
| 1518965961 | Steven Michael Bunag | Physician Assistant | 601 Gateway Blvd N, Chesterton, IN 46304-9658 | 2005-07-11 |
| 1801894407 | Gerald E Gonnella | Physician Assistant | 601 Gateway Blvd N, Chesterton, IN 46304-9658 | 2005-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386289957 | Jordan Nickley Nemer | Physician Assistant | 270 E Day Rd Ste 200, Mishawaka, IN 46545-3444 | 2019-11-07 |
| 1760947329 | Ellen M Randall | Physician Assistant | 705 Riley Hospital Dr Ste 2514, Indianapolis, IN 46202-5109 | 2019-02-07 |
| 1710459839 | Alyssa Tripp | Physician Assistant | 1007 Lincolnway Rm 1107, La Porte, IN 46350-3201 | 2018-12-31 |
| 1992283899 | Kelsey Arnold | Physician Assistant | 275 W Bassett Rd Ste 2, Shelbyville, IN 46176-8575 | 2018-08-02 |
| 1396249926 | Deaconess Specialty Physicians, Inc | Physician Assistant | 1813 Willow St Ste 5a, Vincennes, IN 47591-4279 | 2018-03-20 |
| 1477924892 | Kristen Marie Ness | Physician Assistant | 13100 E 136th St Ste 2000, Fishers, IN 46037-9440 | 2015-10-12 |
| 1982945960 | Heather Bunnell | Physician Assistant | 3943 Hay Market Dr, Jeffersonville, IN 47130-8260 | 2013-03-15 |
| 1255685772 | Jarron J Lincoln | Physician Assistant | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237 | 2012-11-06 |
| 1427364926 | Rebecca Lou Autry | Physician Assistant | 10081 Fredericksburg Rd Nw, Depauw, IN 47115-8629 | 2010-08-23 |
| 1558685495 | Douglas D Kesler | Physician Assistant | 1411 S Creasy Lane, Suite 120, Lafayette, IN 47905-7433 | 2010-03-22 |
| Find all providers with the same taxonomy | ||||
| City | CHESTERTON |
| Zip Code | 46304 |
Please comment or provide details below to improve the information on BENJAMIN 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.