Brian Dean Brazzell, FNP | |
105 Teke Burton Dr, Mitchell, IN 47446-1208 | |
(812) 849-3408 | |
(812) 849-5630 |
Full Name | Brian Dean Brazzell |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 12 Years |
Location | 105 Teke Burton Dr, Mitchell, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558614461 | NPI | - | NPPES |
28151328A | Other | IN | RN |
71004232A | Other | IN | FNP LICENSE # |
71004232B | Other | IN | CSR PRESCRIPTIVE AUTHORITY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 28151328 (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Indiana University Health Bedford Hospital | Bedford, IN | Hospital |
Indiana University Health Paoli Hospital | Paoli, IN | Hospital |
Indiana University Health | Indianapolis, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Indiana University Health Paoli Inc | 2668426016 | 9 |
Indiana University Health Southern Indiana Physicians Llc | 6204748197 | 449 |
Entity Name | Indiana University Health Southern Indiana Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556 |
Entity Name | Indiana University Health Paoli Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457519324 PECOS PAC ID: 2668426016 Enrollment ID: O20050308001174 |
Entity Name | Iu Health Bedford Physicians, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730430745 PECOS PAC ID: 4183861685 Enrollment ID: O20130430000297 |
Mailing Address | Practice Location Address |
---|---|
Brian Dean Brazzell, FNP 105 Teke Burton Dr, Mitchell, IN 47446-1208 Ph: (812) 849-3408 | Brian Dean Brazzell, FNP 105 Teke Burton Dr, Mitchell, IN 47446-1208 Ph: (812) 849-3408 |
Mrs. Melissa Ann Ray, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2759 State Road 37, Mitchell, IN 47446 Phone: 812-992-5440 Fax: 812-992-5441 | |
Mrs. Kristi Jo Nissley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2759 State Road 37, Mitchell, IN 47446 Phone: 812-849-6420 | |
Mrs. Natalie Dawn Coleman, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 537 Marion St, Mitchell, IN 47446 Phone: 812-797-5891 |