BRAD A. BRAZEAL MD PA (NPI# 1821283441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821283441 |
| Entity Type | Organization |
| Organization Name | BRAD A. BRAZEAL MD PA |
| Other Organization Name | BRAD A. BRAZEAL MD PA |
| Practice Address |
300 Willow Creek Pkwy Ste 210 Palestine TX 75801-4421 |
| Practice Telephone | 9037231940 |
| Practice Fax Number | 9037238307 |
| Mailing Telephone | 9037231940 |
| Mailing Fax Number | 9037238307 |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2016-02-01 |
| Authorized Official Name | MR. BRAD A BRAZEAL (SELF/OWNER) |
| Authorized Official Telephone | 9037231940 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P2900X |
Psychiatry & Neurology Specialization: Pain Medicine |
50509 | TX | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
50509 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 124200005 | 05 | |
| TX | 166535801 | 05 |
| Other Name | Type Code |
|---|---|
| Brad A. Brazeal MD PA | Doing Business As Name - Organization |
| Street Address |
300 WILLOW CREEK PKWY STE 210 |
| City | PALESTINE |
| State | TX |
| Zip Code | 75801-4421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942209606 | Home Care Network East, Inc | Home Health | 300 Willow Creek Pkwy, 240, Palestine, TX 75801-4421 | 2005-07-15 |
| 1942689880 | Asha Kancharla Md Pa | Anesthesiology | 300 Willow Creek Pkwy, Palestine, TX 75801-4421 | 2015-05-26 |
| 1194145821 | Clifton Fincher | Nurse Anesthetist, Certified Registered | 300 Willow Creek Pkwy, Suite 130, Palestine, TX 75801-4421 | 2014-04-21 |
| 1699006254 | Willow Creek Surgery Center Lp | Clinic/Center | 300 Willow Creek Pkwy, Suite 100, Palestine, TX 75801-4389 | 2010-01-21 |
| 1922150663 | J. Don Jackson Jr, Md, Pa | Surgery | 300 Willow Creek Pkwy, Suite 200 A, Palestine, TX 75801-4421 | 2007-01-16 |
| 1730128661 | Sarah J Ramsay | Anesthesiology | 300 Willow Creek Pkwy, Palestine, TX 75801-4421 | 2006-06-06 |
| 1225012271 | Asha Kancharla | Anesthesiology | 300 Willow Creek Pkwy, Suite 210a, Palestine, TX 75801-4389 | 2005-12-02 |
| 1265415640 | Brad A Brazeal | Psychiatry & Neurology | 300 Willow Creek Pkwy, Ste 210, Palestine, TX 75801-4389 | 2005-11-21 |
| 1013905900 | Pain Management Associates of East Texas, Pa | Anesthesiology | 300 Willow Creek Pkwy, Suite 130, Palestine, TX 75801-4421 | 2005-10-13 |
| 1447248448 | Ronnie Todd Robinson | Nurse Anesthetist, Certified Registered | 300 Willow Creek Pkwy, Suite 130, Palestine, TX 75801-4421 | 2005-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669095113 | Savannah Lee Brumley | Speech-Language Pathologist | 550 Anderson County Road 160, Palestine, TX 75801 | 2020-05-19 |
| 1154964997 | Holly Studdard | Massage Therapist | 479 Acr 3971, Palestine, TX 75801 | 2019-10-24 |
| 1174096093 | Lisa Ann Tuley | Social Worker | 2001 Acr 156 #9, Palestine, TX 75801 | 2019-01-03 |
| 1194253955 | Scion Management Group Inc. | Durable Medical Equipment & Medical Supplies | 2256 S Sycamore St Ste 1, Palestine, TX 75801 | 2017-05-24 |
| 1225565013 | Blessed Beginnings Birth Center | Midwife | 3950 S. Hwy 19, Palestine, TX 75801 | 2017-05-11 |
| 1487060711 | Prakash Gadhiya | Dentist | 419 Old Elkhart Rd., Palestine, TX 75801 | 2014-07-08 |
| 1821428640 | Deonna Michelle Bynum | Nurse Practitioner | 126 Medical Drive, Suite B, Palestine, TX 75801 | 2013-11-14 |
| 1811249253 | Michael G. Key D.c. PC | Chiropractor | 2803 W. Oak Street, Palestine, TX 75801 | 2012-10-10 |
| 1740447747 | Andre Thomas | Orthopaedic Surgery | 4002 Loop 256, Suite G, Palestine, TX 75801 | 2008-05-19 |
| 1609055631 | Kathie S Carrier&medical Transport Dba | Non-emergency Medical Transport (VAN) | 1965 Anderson County Road 2101, Palestine, TX 75801 | 2007-10-26 |
| Find all providers in zip 75801 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942204755 | David Joel Korman | Psychiatry & Neurology | 3320 S Loop 256, Palestine, TX 75801-6984 | 2005-06-09 |
| 1265415640 | Brad A Brazeal | Psychiatry & Neurology | 300 Willow Creek Pkwy, Ste 210, Palestine, TX 75801-4389 | 2005-11-21 |
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| 1093334104 | Phoenix Mental Health Tms | Psychiatry & Neurology | 19707 Ih 10 W Ste 314, San Antonio, TX 78257-1746 | 2020-04-09 |
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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.