LARRY R BRAZLEY MD, LTD (NPI# 1821006545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821006545 |
| Entity Type | Organization |
| Organization Name | LARRY R BRAZLEY MD, LTD |
| Practice Address |
255 E 90th Dr Merrillville IN 46410-8144 |
| Mailing Address |
55 E 86th Ave Po Box 10645 Merrillville IN 46410-6382 |
| Practice Telephone | 2197910248 |
| Practice Fax Number | 2197910251 |
| Mailing Telephone | 2197691670 |
| Mailing Fax Number | 2197386714 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2008-06-09 |
| Authorized Official Name | LARRY R BRAZLEY (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 2197691670 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
01032396 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100169080 | 05 |
| Street Address |
255 E 90TH DR |
| City | MERRILLVILLE |
| State | IN |
| Zip Code | 46410-8144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003815598 | H Carl Moultrie II | Orthopaedic Surgery | 255 E 90th Dr, Suite W1, Merrillville, IN 46410 | 2005-07-18 |
| 1417582552 | Excellent Neurology Service | Psychiatry & Neurology | 255 E 90th Dr, Merrillville, IN 46410-8144 | 2020-03-09 |
| 1770751851 | Merrillville Plaza Anesthesia Corporation | Clinic/Center | 255 E 90th Dr, Suite W-2, Merrillville, IN 46410-8144 | 2008-02-12 |
| 1659560100 | Anekal B Sreeram | Specialist | 255 E 90th Dr, Merrillville, IN 46410-8144 | 2007-10-22 |
| 1972672830 | Dr. Anekal B. Sreeram | Otolaryngology | 255 E 90th Dr, Merrillville, IN 46410-8103 | 2006-11-07 |
| 1093723793 | Larry R Brazley | Internal Medicine | 255 E 90th Dr, W1, Merrillville, IN 46410-8144 | 2006-08-04 |
| 1447206040 | Orthopedic Foot & Ankle Institute | Podiatrist | 255 E 90th Dr, #w-3, Merrillville, IN 46410-8103 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023636867 | Lena Danielle Clouse | Pharmacist | Genoa Healthcare LLC, 8555 Taft Street, Merrillville, IN 46410 | 2020-07-08 |
| 1134752728 | All In One Therapy, LLC | Speech-Language Pathologist | 1800 W 84th Drive, Merrillville, IN 46410 | 2020-02-21 |
| 1134759335 | David John Kujawa | Social Worker | 8398 Mississippi St., Merrillville, IN 46410 | 2020-01-16 |
| 1619513603 | Activate Healthcare - Plumbers Local 210 Clinic | Clinic/Center | 2905 E 83rd Place, Merrillville, IN 46410 | 2019-11-25 |
| 1568946994 | Larry Smith | Case Manager/Care Coordinator | 233 E 83, Merrillville, IN 46410 | 2018-09-21 |
| 1114401536 | The Sheet People | Durable Medical Equipment & Medical Supplies | 8874 Louisiana Street, Merrillville, IN 46410 | 2018-09-21 |
| 1659858439 | Heather Grinder | Hearing Instrument Specialist | 9120 Connecticut Dr., Suite C, Merrillville, IN 46410 | 2018-07-24 |
| 1710463872 | Mitchell G Smith | Optometrist | 1601 E 81st Ave, Merrillville, IN 46410 | 2018-07-12 |
| 1336631753 | Nwi Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 1454 E. 86th Place, Merrillville, IN 46410 | 2018-06-01 |
| 1659860427 | Wendell B Fleming | Counselor | 230 West 175th Place, Apartment I, Merrillville, IN 46410 | 2018-05-07 |
| Find all providers in zip 46410 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528248242 | Reddy Rheumatology of Northwest In PC | Internal Medicine | 118 E 90th Drive, Merrillville, IN 46410-7160 | 2007-11-09 |
| 1275535536 | Vinay Kumar Puchalapalli Reddy | Internal Medicine | 118 E 90th Dr, Merrillville, IN 46410-7160 | 2005-06-01 |
| 1093723793 | Larry R Brazley | Internal Medicine | 255 E 90th Dr, W1, Merrillville, IN 46410-8144 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477047256 | American Arthritis & Rheumatology Associates In LLC | Internal Medicine | 18077 River Rd Ste 206, Noblesville, IN 46062-8334 | 2018-06-15 |
| 1457708000 | Union Associated Physicians Clinic, LLC | Internal Medicine | 1711 N 6th 1/2 St Ste 302, Terre Haute, IN 47804-2770 | 2016-05-24 |
| 1972855138 | Rheumetology Arthritis Immunology | Internal Medicine | 4933 Plaza East Blvd, Evansville, IN 47715-2813 | 2012-10-11 |
| 1407167273 | Anan Bassam Afaneh | Internal Medicine | 6905 E 96th St Ste 300, Indianapolis, IN 46250-4456 | 2010-06-28 |
| 1306161955 | Kirk Jenkins | Internal Medicine | 1461 Morthland Dr Ste A, Valparaiso, IN 46385-6362 | 2010-04-06 |
| 1053598896 | Tracy M. Brenner | Internal Medicine | 8902 N Meridian St #210, Indianapolis, IN 46260-5307 | 2008-01-23 |
| 1700927811 | Arthritis Care of Michiana LLC | Internal Medicine | 100 Navarre Pl Ste 5570, South Bend, IN 46601-1169 | 2007-02-09 |
| 1538225487 | Kimberly Shaw Lamberson | Internal Medicine | 1001 West 10th Street, Wishard Hospital, Indianapolis, IN 46202 | 2006-12-28 |
| 1134202880 | William Parker Rusche | Internal Medicine | 3316 E Mulberry Dr, Bloomington, IN 47401-2426 | 2006-10-23 |
| 1669560215 | Mohsen Ehsan | Internal Medicine | 1919 State St Ste 244, New Albany, IN 47150-6804 | 2006-10-10 |
| Find all providers with the same taxonomy | ||||
| City | MERRILLVILLE |
| Zip Code | 46410 |
Please comment or provide details below to improve the information on LARRY R BRAZLEY MD, LTD.
| 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.