Brad A. Brazeal Md Pa

LBN: Brad A. Brazeal Md Pa
Brad A. Brazeal Md Pa is an health care organization with primary practice located at 300 Willow Creek Pkwy Ste 210, Palestine TX 75801-4421. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. Brad A. Brazeal Md Pa can be contacted via phone (903) 723-1940, or through Brazeal, Brad A via phone (903) 723-1940.

Contact Information

Primary practice address
300 Willow Creek Pkwy Ste 210 Palestine TX 75801-4421
Fax: (903) 723-8307
Website:
Authorized official contact:
Name: Brazeal, Brad A Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 50509 Texas
Allopathic & Osteopathic Physicians / Pain Medicine 2084P2900X 50509 Texas

Profile Details

NPI number 1821283441
LBN Legal business name Brad A. Brazeal Md Pa
DBA Doing business as Brad A. Brazeal Md Pa
Authorized official Brazeal, Brad A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2007
Last updated Feb 1st, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821283441 NPPES
Texas MEDICAID 166535801
Texas MEDICAID 124200005

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