Healthcare Provider Details

I. General information

NPI: 1659335404
Provider Name (Legal Business Name): SHARON K BREIT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/17/2006
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 E 19TH ST
ROSWELL NM
88201-5151
US

IV. Provider business mailing address

10111 E 21ST ST N SUITE 301
WICHITA KS
67206-3508
US

V. Phone/Fax

Practice location:
  • Phone: 575-627-7000
  • Fax:
Mailing address:
  • Phone: 316-634-0060
  • Fax: 316-634-0050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number0423858
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number0423858
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: