THOMAS LEE BREWER — NPI 1598010191 (Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Surgical in SELMA, TX)

CMS-1500 Box 24J / 33a • NPI

1598010191

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

363AS0400X (CMS 97)

Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Surgical

Box 32 Service Location & ZIP+4

16203 GALLOPING OAK KNL, SELMA, TX, 78154

Official NPPES Practice Location

Practice Phone & Referral Fax

(210) 291-9749

Fax: (210) 637-9000

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1598010191 (THOMAS LEE BREWER) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1598010191` (NPI-1 Individual Practitioner)
Provider / Legal Name	THOMAS LEE BREWER
Plain-English Specialty	Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Surgical NUCC Code: `363AS0400X` (Physician Assistant, Surgical)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	16203 GALLOPING OAK KNL, SELMA, TX, 78154
Practice Telephone / Fax	Tel: (210) 291-9749 \| Fax: (210) 637-9000
Administrative Mailing Address	16203 GALLOPING OAK KNL, SELMA, TX, 78154-3916
Enumeration & Last Sync	Enumerated: 2012-07-19 \| CMS Record Updated: 2019-02-06

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

16203 GALLOPING OAK KNL, SELMA, TX, 78154

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Plain-English Taxonomy & CMS Crosswalk (363AS0400X)

What Does Taxonomy Code 363AS0400X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363AS0400X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Surgical"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 97 (Physician Assistant)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Physician Assistant, Surgical for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (THOMAS LEE BREWER)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`363AS0400X` — Physician Assistant, Surgical Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Surgical	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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THOMAS LEE BREWER (NPI #1598010191)