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BREWSTER FAMILY WELLNESS CENTER
NPI 1881097087
Family Medicine in Canton, OH

Active since October 01, 2014CLIA 36D1045139 · Waiver
4124 FULTON DR NW, STE 101, CANTON, OH 44718(330) 433-9260(330) 433-9263 Get Directions Write a Review

NPPES record last updated: October 1, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Brewster Family Wellness Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BREWSTER FAMILY WELLNESS CENTER (NPI 1881097087) is a healthcare organization registered as a family medicine in Canton, Ohio and active in the NPI registry since October 2014. The organization holds a CLIA Waiver certificate valid through September 6, 2027 and lists Diana Brewster, Owner, as its authorized official.

NPPES Registry Identity

NPI1881097087
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDIANA BREWSTER, D.O., LLC
Location Address4124 FULTON DR NW, STE 101Canton, OH 44718-2852
Mailing Address4124 Fulton Dr Nw, Ste 101Canton, OH 44718-2852 · (330) 433-9260 · Fax (330) 433-9263
Phone(330) 433-9260
Fax(330) 433-9263
Organization SubpartNo
Authorized OfficialDiana BrewsterOwner · (330) 433-9260
Enumeration DateOctober 1, 2014
✔ NPI 1881097087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 34007790
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4124 FULTON DR NW, Canton, OH 44718
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Other Names 1

Doing Business AsBrewster Family Wellness Center

Other Identifiers 1

Medicaid2399855OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D1045139

Brewster Family Wellness Center · Canton, OH
Active · expires Sep 6, 2027
CLIA Number36D1045139
Laboratory TypePhysician Office
Certificate Effective DateSeptember 7, 2025
Certificate Expiration DateSeptember 6, 2027
Laboratory DirectorDiana L. Brewster Do
Laboratory Phone(330) 433-9260
Laboratory LocationBrewster Family Wellness Center4172 Holiday Street, NW, Canton, OH 44718
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EMIL D POPORAD D.D.S.,M.S.
Dentist (Oral and Maxillofacial Pathology)
4124 FULTON DR NW, SUITE 102
CANTON, OH 44718
Stark County (330) 493-4700
DR. WILLIAM JOSEPH MILLER DDS
Dentist (General Practice)
4124 FULTON DR NW, SUITE 201
CANTON, OH 44718
Stark County (330) 493-3595
CANDACE COCHRAN FNP-C
Nurse Practitioner (Family)
4124 FULTON DR NW, STE 101
CANTON, OH 44718
Stark County (330) 433-9260

Frequently Asked Questions

What is DIANA BREWSTER, D.O., LLC's NPI number?

The NPI number assigned to this healthcare provider is 1881097087, enumerated as an "organization" on October 01, 2014.

Where is the provider located?

The provider is located at 4124 FULTON DR NW STE 101 CANTON, OH 44718 and the phone number is (330) 433-9260.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.

What insurance does DIANA BREWSTER, D.O., LLC accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.