Provider Demographics
NPI:1750551016
Name:THOMAS.E. BREWINGTON, M.D., P.A.
Entity type:Organization
Organization Name:THOMAS.E. BREWINGTON, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:E
Authorized Official - Last Name:BREWINGTON
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:336-272-5628
Mailing Address - Street 1:807 SUMMIT AVE
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27405-7833
Mailing Address - Country:US
Mailing Address - Phone:336-272-5628
Mailing Address - Fax:336-273-1671
Practice Address - Street 1:807 SUMMIT AVE
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-7833
Practice Address - Country:US
Practice Address - Phone:336-272-5628
Practice Address - Fax:336-273-1671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-03
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
No332H00000XSuppliersEyewear SupplierGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC18237OtherBCBS
NC8918237Medicaid
NC18237OtherBCBS
NCC80822Medicare UPIN