Brewington, Stacy David

Brewington, Stacy David is an individual health care provider with primary practice located at 228 W. 4Th Street Suite 200, Cookeville TN 38501. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Brewington, Stacy David can be contacted via phone (931) 372-0405.

Contact Information

Primary practice address
228 W. 4Th Street Suite 200 Cookeville TN 38501
Phone: (931) 372-0405
Fax: (931) 372-0463
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X MD30775 Tennessee
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 30775 Tennessee

Profile Details

NPI number 1043326176
LBN Legal business name Brewington, Stacy David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Jun 16th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1043326176 NPPES
Tennessee MEDICAID 3836719
Tennessee Other 4288870
Tennessee MEDICAID 7100015180

Popular Providers