ADAM BRAZAS (NPI# 1831104363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831104363 |
| Entity Type | Individual |
| Full Name | ADAM BRAZAS |
| Credential | PHD |
| Practice Address |
8 Medical Plz Mountain Home AR 72653-2919 |
| Mailing Address |
Po Box 1776 Mountain Home AR 72654-1776 |
| Practice Telephone | 8704256901 |
| Practice Fax Number | 8704248703 |
| Mailing Telephone | 8704256901 |
| Mailing Fax Number | 8704248703 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2010-12-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
P9008114 | AR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE | 56587 | 01 |
| Street Address |
8 MEDICAL PLZ |
| City | MOUNTAIN HOME |
| State | AR |
| Zip Code | 72653-2919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164822870 | Alternative Oppurtunities | Community/Behavioral Health | 8 Medical Plz, Mountain Home, AR 72653-2919 | 2014-08-29 |
| 1083850762 | Health Resources of Arkansas, Inc. | Community/Behavioral Health | 8 Medical Plz, Mountain Home, AR 72653-2919 | 2008-12-30 |
| 1942460787 | Brittany Mcglothlin II | Case Manager/Care Coordinator | 8 Medical Plz, Mountain Home, AR 72653-2919 | 2008-06-16 |
| 1174795868 | Jennifer Goulet | Case Manager/Care Coordinator | 8 Medical Plz, Mountain Home, AR 72653-2919 | 2008-04-02 |
| 1619149184 | Bonnie Graham | Case Manager/Care Coordinator | 8 Medical Plz, Mountain Home, AR 72653-2919 | 2008-03-25 |
| 1316118391 | Tamala Holt II | Case Manager/Care Coordinator | 8 Medical Plz, Mountain Home, AR 72653-2919 | 2008-03-18 |
| 1093983330 | Jennifair Ditmanson | Registered Nurse | 8 Medical Plz, Mountain Home, AR 72653-2919 | 2008-02-20 |
| 1063697423 | Melissa Conners | Case Manager/Care Coordinator | 8 Medical Plz, Mountain Home, AR 72653-2919 | 2008-01-04 |
| 1174706287 | James Pouncy | Case Manager/Care Coordinator | 8 Medical Plz, Mountain Home, AR 72653-2919 | 2007-12-12 |
| 1194913004 | Sheri Davis | Case Manager/Care Coordinator | 8 Medical Plz, Mountain Home, AR 72653-2919 | 2007-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619513934 | Maranda Hickman | Physical Therapy Assistant | 347 Hwy 62 East College Plaza, Mountain Home, AR 72653 | 2019-11-21 |
| 1659929156 | Gale E Bacan | Technician | 1703 Monroe Ave, Mountain Home, AR 72653 | 2019-08-28 |
| 1891259321 | Kidspiration Pediatric Therapy Services | Clinic/Center | 710 Bradley Dr., Mountain Home, AR 72653 | 2019-01-29 |
| 1093279275 | Piper's Vision Xpress, LLC | Optometrist | 50 Paul Wood Lane, Mountian Home, AR 72653 | 2019-01-22 |
| 1346769155 | Heather Bollinger | Nurse Practitioner | 65 Walmart Drive, C/o Clinic At Walmart, Mountain Home, AR 72653 | 2017-09-12 |
| 1447774989 | Natalie D Ahrent | Physical Medicine & Rehabilitation | 804 Coley Dr, Mountain Home, AR 72653 | 2017-07-26 |
| 1417486028 | Andrew David Hatman | Case Manager/Care Coordinator | 1349 Hampshire Circle, Mountain Home, AR 72653 | 2017-06-07 |
| 1568848315 | Taylor Chiropractic Plc | Health Maintenance Organization | 103 S Main St Ste 5, Mountain Home, AR 72653 | 2015-08-04 |
| 1942606306 | Harps Food Stores, Inc | Pharmacy | 2089 Highway 62 West, Mountain Home, AR 72653 | 2014-11-13 |
| 1972920726 | Lavonne Armstrong | Counselor | 8 Medical Plaza, Mountain Home, AR 72653 | 2014-03-18 |
| Find all providers in zip 72653 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619461241 | Jessica Lauren Fugitt | Psychologist | 221 W 2nd St Ste 519, Little Rock, AR 72201-2505 | 2018-06-18 |
| 1679074082 | Michael E Wyrick | Psychologist | 1420 Longview Dr, Booneville, AR 72927-3830 | 2018-02-22 |
| 1598996076 | Taking Charge | Psychologist | 1116 S State St, Pine Bluff, AR 71601-5851 | 2009-08-02 |
| 1386892370 | Phyllis Jane Thomas | Psychologist | 506 Green Mountain Cir, # 70, Little Rock, AR 72211-2632 | 2008-09-03 |
| 1124274469 | Lewis E. Campbell | Psychologist | 4705 Somers Ave, Suite 1027, North Little Rock, AR 72116-7034 | 2008-08-18 |
| 1639361165 | Adam Benton | Psychologist | 4004 Mccain Blvd., Suite 203, North Little Rock, AR 72116 | 2007-08-17 |
| 1194897884 | Brian L Harlan, Md, Plc | Psychologist | 2616 W Beebe Capps Expy, Searcy, AR 72143-4968 | 2006-11-15 |
| 1639137458 | Don A Neal | Psychologist | 2500 Rike Drive, Pine Bluff, AR 71603 | 2006-05-02 |
| 1255339461 | Becky L. Porter | Psychologist | 2024 Arkansas Valley Dr, Suite 604, Little Rock, AR 72212-4166 | 2005-07-12 |
| 1295995736 | Nancy M. Perry | Psychologist | 11825 Hinson Rd, Suite 102, Little Rock, AR 72212-3404 | 2008-06-09 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTAIN HOME |
| Zip Code | 72653 |
Please comment or provide details below to improve the information on ADAM BRAZAS.
| 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.