Provider Demographics
NPI:1831301126
Name:BREWINGTON, DANA CARYL (MD)
Entity Type:Individual
Prefix:MRS
First Name:DANA
Middle Name:CARYL
Last Name:BREWINGTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 741331
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-1331
Mailing Address - Country:US
Mailing Address - Phone:913-469-0503
Mailing Address - Fax:913-338-1311
Practice Address - Street 1:12210 W 87TH STREET PKWY
Practice Address - Street 2:STE 135
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66215-2812
Practice Address - Country:US
Practice Address - Phone:913-438-6700
Practice Address - Fax:913-438-6804
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2010014070207QS0010X
KS04-32541207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine