Timothy Charles Brazeal MS, ATC, PA

  • NPI 1083933485
According to our database, the NPI number for Timothy Charles Brazeal MS, ATC, PA is 1083933485 and activated since 13 years ago. Timothy Charles Brazeal MS, ATC, PA is an individual provider who specializes in Physician Assistant, and the primary practice location is 3555 S National Ave, Springfield, MO 65807. You can also contact Timothy Charles Brazeal MS, ATC, PA via telephone number is (417) 875-3000. Provider NPI information was last updated on 12/27/2018.

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Overview of Timothy Charles Brazeal MS, ATC, PA

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 05/25/2010
  • Last updated: 12/27/2018

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 2018004459
  • License State: MO

Provider Mailing Address

  • Address: Po Box 9007
    Springfield, MO 65808
  • Phone: 417-875-3000
  • Fax:

Provider Practice Location

  • Address: 3555 S National Ave
    Springfield, MO 65807
  • Phone: 417-875-3000
  • Fax:

Scope of Practice

  • Taxonomy Code: 2255A2300X
  • Specialty: Athletic Trainer
  • License Number: 200901846
  • License State: MO
  • Switch: No

Legacy Identifiers

  • Provider Identifier: 1083933485
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: MO
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Timothy Charles Brazeal MS, ATC, PA?
  • A: The npi number for Timothy Charles Brazeal MS, ATC, PA is 1083933485.
  • Q: What are Timothy Charles Brazeal MS, ATC, PA's specialties?
  • A: Timothy Charles Brazeal MS, ATC, PA's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for Timothy Charles Brazeal MS, ATC, PA?
  • A: The medical license number for Timothy Charles Brazeal MS, ATC, PA is 2018004459 and issued in MO in USA.
  • Q: Where is Timothy Charles Brazeal MS, ATC, PA practice location?
  • A: Timothy Charles Brazeal MS, ATC, PA is practicing at 3555 S National Ave, Springfield, MO 65807.
  • Q: How to contact Timothy Charles Brazeal MS, ATC, PA?
  • A: You can contact Timothy Charles Brazeal MS, ATC, PA via 417-875-3000.