Healthcare Provider Details

I. General information

NPI: 1619974888
Provider Name (Legal Business Name): FLORA H. BREWINGTON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2005
Last Update Date: 01/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12201 PECOS ST STE 500
WESTMINSTER CO
80234-3995
US

IV. Provider business mailing address

12201 PECOS ST STE 500
WESTMINSTER CO
80234-3995
US

V. Phone/Fax

Practice location:
  • Phone: 303-457-4497
  • Fax: 303-254-4369
Mailing address:
  • Phone: 303-457-4497
  • Fax: 303-254-4369

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number42177
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: