Provider Demographics
NPI:1043243249
Name:BREWSTER, BELINDA HOOVER (MD)
Entity Type:Individual
Prefix:DR
First Name:BELINDA
Middle Name:HOOVER
Last Name:BREWSTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:BELINDA
Other - Middle Name:MAY
Other - Last Name:HOOVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2677 E BLACKHURST RD
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48642-7867
Mailing Address - Country:US
Mailing Address - Phone:989-837-6632
Mailing Address - Fax:989-837-6632
Practice Address - Street 1:2677 E BLACKHURST RD
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48642-7867
Practice Address - Country:US
Practice Address - Phone:989-837-6632
Practice Address - Fax:989-837-6632
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-09
Last Update Date:2015-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301063384207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0108118872OtherINDIVIDUAL BLUE CROSS
MI4597701Medicaid
MI010A660000OtherGROUP BLUE CROSS
MI1043243249Medicaid
MI010A660000OtherGROUP BLUE CROSS
MI4597701Medicaid
MI0108118872OtherINDIVIDUAL BLUE CROSS