Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY CHARLES BRAZEAL, MS, ATC, PA
ActivePhysician Assistant · LEBANON, MO
Registration Details
- NPI Number
- 1083933485
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 25, 2010 (15.907466511516 yrs)
- Last Updated
- Jul 23, 2024
- Licenses
-
200901846 (MO)2018004459 (MO)
Practice Information
- Address
-
331 HOSPITAL DRSUITE DLEBANON, MO, 655369217Browse MO providers · Browse ZIP 65536
- Phone
- 4175336315
- Fax
- 4175336320
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in LEBANON, MO
| Name | Credential | NPI |
|---|---|---|
| LOREN E SMITH II | PA-C | 1659334514 |
| MR. DAVID DOUGLAS | P.A.C | 1396760476 |
| KATHY G. BECKNER | PA-C | 1831209089 |
| SANDRA J. BARNES-STEEN | PA-C | 1477630663 |
| ASHLEY A VANZANT | PA | 1497903256 |
| JASON BUSTIN | PA | 1265732549 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.