Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Johnathon T Brewer, IDC

Individual provider Independent Duty Corpsman · NPI 1639793748

Johnathon T Brewer, IDC is an Independent Duty Corpsman in Jacksonville, North Carolina. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

100 White St
Jacksonville, NC 28540
Phone: (910) 449-5064
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1639793748
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorNo
NPI enumeratedJune 4, 2020
Last updated in NPPESJune 4, 2020
Certification dateJune 4, 2020
Mailing address100 White St, Jacksonville, NC 28540

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