Provider Demographics
NPI:1326049982
Name:BROWNFIELD, CYNTHIA MARIE (MD)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:MARIE
Last Name:BROWNFIELD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:CYNTHIA
Other - Middle Name:MARIE
Other - Last Name:WESTERHEIDE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:711 N 36TH ST
Mailing Address - Street 2:STE A
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64506-2968
Mailing Address - Country:US
Mailing Address - Phone:816-271-8120
Mailing Address - Fax:816-271-8104
Practice Address - Street 1:711 N 36TH ST
Practice Address - Street 2:STE A
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-2968
Practice Address - Country:US
Practice Address - Phone:816-271-8120
Practice Address - Fax:816-271-8104
Is Sole Proprietor?:No
Enumeration Date:2005-08-04
Last Update Date:2011-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2003007568207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOP00383437OtherRR MEDICARE
MO10001862500OtherCHP
MO209125905Medicaid
MO37283018OtherBCBS
KS200406280AMedicaid
MO7565473OtherAETNA
MO37283018OtherBCBS
MO701E757Medicare ID - Type Unspecified