| Brazell H Carter Md Inc | |
|
2600 Macdonald Ave Richmond CA 94804-1826 | |
| (510) 236-8487 | |
| (510) 235-8650 |
| Full Name | Brazell H Carter Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2600 Macdonald Ave, Richmond, California |
| Authorized Official Name and Position | Brazell H Carter (PHYSICIAN) |
| Authorized Official Contact | 5102368484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brazell H Carter Md Inc 2600 Macdonald Ave Richmond CA 94804-1826 Ph: (510) 236-8484 | Brazell H Carter Md Inc 2600 Macdonald Ave Richmond CA 94804-1826 Ph: (510) 236-8487 |
| NPI Number | 1700968807 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 10/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700968807 | NPI | - | NPPES |
| DN5243 | Other | CA | RAILROAD MEDICARE |
| 757111935 | Other | CA | RAILROAD MEDICARE |
| 00A303960 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A30396 (California) | Primary |
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