MEDICARE: DR. FLORA H. BREWINGTON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	42177	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619974888
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FLORA H. BREWINGTON MD

Provider Business Mailing Address
First Line	:	12201 PECOS ST STE 500
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80234-3995
Country	:	US
Telephone Number	:	303-457-4497
Fax Number	:	303-254-4369

Provider Business Practice Location Address
First Line	:	12201 PECOS ST STE 500
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80234-3995
Country	:	US
Telephone Number	:	303-457-4497
Fax Number	:	303-254-4369

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2005
Last Update Date	:	01/25/2018

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