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BRAD A. BRAZEAL MD PA NPI 1821283441


NPI Information

NPI: 1821283441
Provider Name: BRAD A. BRAZEAL MD PA

Doing Business As: BRAD A. BRAZEAL MD PA

Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
300 WILLOW CREEK PKWY
STE 210
PALESTINE, TX
ZIP 75801
Phone: (903) 723-1940
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BRAD A. BRAZEAL MD PA is a psychiatry psychiatry neurology in Palestine, TX. The provider is 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. BRAD A. BRAZEAL MD PA NPI is 1821283441. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Brad A. Brazeal Md Pa.

The provider's business location address is:

300 WILLOW CREEK PKWY
STE 210
PALESTINE, TX
ZIP 75801-421
Phone: (903) 723-1940
Fax: (903) 723-8307

The provider's authorized official is Brad A Brazeal .
The authorized official title is Self/owner and has the following contact phone number (903) 723-1940.

The enumeration date for this NPI number is 9/6/2007 and was last updated on 2/1/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P2900XPsychiatry & NeurologyPain Medicine50509TEXASNo
22084P0800XPsychiatry & NeurologyPsychiatry50509TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1166535801MEDICAIDTEXAS
2124200005MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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