Healthcare Provider Details

I. General information

NPI: 1386576668
Provider Name (Legal Business Name): SABRINA BREWER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5242 N ROXBORO RD
DURHAM NC
27712-2831
US

IV. Provider business mailing address

5242 N ROXBORO RD
DURHAM NC
27712-2831
US

V. Phone/Fax

Practice location:
  • Phone: 919-797-0051
  • Fax:
Mailing address:
  • Phone: 919-797-0051
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number75978
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: