Basic Information
Provider Information
NPI: 1861486110
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BREWINGTON
FirstName: BEATRICE
MiddleName: YVETTE
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2226 NELSON HWY STE 200
Address2:  
City: CHAPEL HILL
State: NC
PostalCode: 275179638
CountryCode: US
TelephoneNumber: 9849742020
FaxNumber:  
Practice Location
Address1: 2226 NELSON HWY STE 200
Address2:  
City: CHAPEL HILL
State: NC
PostalCode: 275179638
CountryCode: US
TelephoneNumber: 9849742020
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/01/2005
LastUpdateDate: 03/18/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/18/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207WX0107X2006-01051NCY    

No ID Information.


Home