Individual provider Active NPI

Richard Ryan Brewington, M.D.

  • Psychiatry Physician
  • Kansas City, MO
National Provider Identifier
1558483511
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2019024511 Issued in MO
Practice address
2600 E 12TH St
Kansas City, MO 64127-1321
Phone
(816) 965-1100
Fax
(816) 965-1140
NPI assigned
Apr 3, 2007
Last updated
Jul 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0432968 KS
Psychiatry Physician 2084P0800X 2019024511 MO Primary

Addresses

Primary practice location

2600 E 12TH St
Kansas City, MO 64127-1321

Mailing address

4438 N Sienna RDG
Riverside, MO 64150-9503
Phone (816) 503-6244

Other practice location 1

4438 N Sienna Rdg
Riverside, MO 64150-9503
Phone (816) 574-4193

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201022000266 MO Practitioner - Psychiatry 4688747710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Missouri, Columbia School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RediscoverGroup PAC ID 3375453517, 50 clinicians

Practice addresses (Care Compare)

2600 E 12TH St
Kansas City, MO 64127-1321
Phone (816) 965-1100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0432968KSMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rediscover CurrentSince Nov 1, 2020 Accepting new patients
Rediscover CurrentSince Nov 1, 2020 Accepting new patients

Locations

2600 E 12th St
Kansas City, MO 64127
Phone (816) 965-1100

1555 NE Rice Rd
Lees Summit, MO 64086
Phone (816) 347-3069

901 NE Independence Ave
Lees Summit, MO 64086
Phone (816) 246-1800

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1558483511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4438 N SIENNA RDG",
            "city": "RIVERSIDE",
            "state": "MO",
            "postal_code": "641509503",
            "telephone_number": "816-503-6244",
            "fax_number": "816-503-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 E 12TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641271321",
            "telephone_number": "816-965-1100",
            "fax_number": "816-965-1140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4438 N Sienna Rdg",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "MO",
            "postal_code": "641509503",
            "country_code": "US",
            "telephone_number": "816-574-4193",
            "fax_number": "816-574-4193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREWINGTON",
        "first_name": "RICHARD",
        "middle_name": "RYAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "0432968",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2019024511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.