VICTORIA LYNSLEE BREWER-CLARK DO
NPI 1497508964
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Active since April 08, 2024PECOS Enrolled
3100 N CENTRAL AVE, PHOENIX, AZ 85012(207) 227-2660 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Victoria Lynslee Brewer-clark Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VICTORIA LYNSLEE BREWER-CLARK DO (NPI 1497508964) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497508964
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameVICTORIA LYNSLEE BREWER-CLARKCredential: DO
Location Address3100 N CENTRAL AVEPhoenix, AZ 85012-2637
Mailing Address3100 N Central AvePhoenix, AZ 85012-2637
Sole ProprietorNo
Enumeration DateApril 8, 2024
NPPES CertifiedApril 5, 2024
NPI 1497508964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3100 N CENTRAL AVE, Phoenix, AZ 85012

Other Names 1

Former Name (1)Victoria Lynslee Brewer

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Victoria Lynslee Brewer-clark Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
3100 N CENTRAL AVE
PHOENIX, AZ 85012
Student in an Organized Health Care Education/Training Program
3100 N CENTRAL AVE
PHOENIX, AZ 85012
Student in an Organized Health Care Education/Training Program
3100 N CENTRAL AVE
PHOENIX, AZ 85012
Student in an Organized Health Care Education/Training Program
3100 N CENTRAL AVE
PHOENIX, AZ 85012
Student in an Organized Health Care Education/Training Program
3100 N CENTRAL AVE
PHOENIX, AZ 85012
Student in an Organized Health Care Education/Training Program
3100 N CENTRAL AVE
PHOENIX, AZ 85012
Student in an Organized Health Care Education/Training Program
3100 N CENTRAL AVE
PHOENIX, AZ 85012
Physician Assistant
3100 N CENTRAL AVE
PHOENIX, AZ 85012

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Victoria Brewer-clark's NPI number?

The NPI number for Victoria Brewer-clark is 1497508964. It was assigned to this individual provider in the NPPES registry on April 8, 2024. The provider is also known as Victoria Lynslee Brewer.

Where is Victoria Brewer-clark located?

Victoria Brewer-clark practices at 3100 N Central Ave, Phoenix, AZ 85012. The listed phone number is (207) 227-2660.

What is Victoria Brewer-clark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Victoria Brewer-clark enrolled in Medicare?

Yes. Victoria Brewer-clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Victoria Brewer-clark was last updated on April 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.