Dr. Boone Brewer, D.D.S.
Dentist in Fort Collins, CO. Individual provider (NPI-1).
NPI number1295931418
StatusActive
Last updated in NPPESOct 11, 2012
Details
- NPI
- 1295931418
- Entity type
- Individual (NPI-1)
- Name
- Dr. Boone Brewer
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 25, 2007
- Last updated
- Oct 11, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 9415 | CO | Yes |
Practice location
2129 W Elizabeth StFort Collins, CO 80521-4236
Phone 970-493-9116
Mailing address
1302 Belmont RdGrand Forks, ND 58201-5626
Phone 763-258-6883 · Fax 701-352-2424
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