DR. JAMES L BRAZIL (NPI# 1154349421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154349421 |
| Entity Type | Individual |
| Full Name | DR. JAMES L BRAZIL |
| Credential | MD |
| Practice Address |
424 Lilly Rd Ne Olympia WA 98506-5132 |
| Practice Telephone | 3604591700 |
| Practice Fax Number | 3604590537 |
| Mailing Telephone | 3604591700 |
| Mailing Fax Number | 3604590537 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-05-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
MD00028815 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932262268 | James A Brazil | Family Medicine | 250 Main St, Ste D, Cadiz, KY 42211-9153 | 2006-12-18 |
| Street Address |
424 LILLY RD NE |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-5132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639173230 | Jennifer Cozart | Physician Assistant | 424 Lilly Rd Ne, Olympia, WA 98506-5132 | 2005-06-10 |
| 1841575768 | Suzanne Erin Magann | Physician Assistant | 424 Lilly Rd Ne, Olympia, WA 98506-5132 | 2011-10-12 |
| 1619121654 | Olympic Dermatology & Laser Clinic | Nurse Practitioner | 424 Lilly Rd Ne, Olympia, WA 98506-5132 | 2008-11-04 |
| 1467470914 | Olympic Dermatology and Laser Clinic P S | Dermatology | 424 Lilly Rd Ne, Olympia, WA 98506-5132 | 2006-07-17 |
| 1114943891 | Thomas L Winckler | Physician Assistant | 424 Lilly Rd Ne, Olympia, WA 98506-5132 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
| Find all providers in zip 98506 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225540685 | Komori and Bailey, LLC | Dermatology | 509 Olive Way Ste 1308, Seattle, WA 98101-1743 | 2017-10-25 |
| 1811004757 | Inland Empire Dermatology, Ps | Dermatology | 312 N Mullan Rd, Spokane Valley, WA 99206-6845 | 2006-08-24 |
| 1497737308 | Edward S Carmick Jr Md | Dermatology | 2528 Wheaton Way, # 204, Bremerton, WA 98310-3305 | 2005-11-16 |
| 1114915691 | Susanne Loraine Gee | Dermatology | 3623 Sw Alaska St, Seattle, WA 98126 | 2005-10-10 |
| 1306270905 | Advanced Dermatology and Laser Institute of Seattle Pllc | Dermatology | 4915 25th Ave Ne, Seattle, WA 98105-5667 | 2013-08-30 |
| 1598848665 | Robert J Marshall | Dermatology | 925 Stevens Dr, Suite 3-c, Richland, WA 99352-3523 | 2006-10-23 |
| 1043301906 | Robert J Marshall | Dermatology | 925 Stevens Dr, Suite 3-c, Richland, WA 99352-3523 | 2006-09-27 |
| 1164465258 | Kean B Lawlor, Md, Pllc | Dermatology | 3216 Ne 45th Pl, Ste 203, Seattle, WA 98105-4093 | 2006-06-14 |
| 1699716860 | Minh-tuan Richard Hoang | Dermatology | 1400 Pottery Ave, Port Orchard, WA 98366-3711 | 2006-06-09 |
| 1215938808 | Mark Allen Crowe | Dermatology | 929 E Main Ave, Suite 210, Puyallup, WA 98372-3116 | 2005-08-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.