Samuel Brayfield, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R1E19 Issued in MO

Practice address

5816 Osage Beach Pkwy
Suite 108
Osage Beach, MO 65065-3046

Phone

(573) 636-3313

Fax

(573) 636-5881

NPI assigned

Jul 12, 2006

Last updated

Jan 14, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Osage Family Clinic, LLC

  • Family Medicine Physician
  • Osage Beach, MO
  • NPI 1215031737
  NPD (past) Authorized official
• Jefferson City Medical Group, P.C.

  • Multi-Specialty Clinic/Center
  • Jefferson City, MO
  • NPI 1336189398
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1003841214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 104240",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651104240",
            "telephone_number": "573-635-5264",
            "fax_number": "573-636-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5816 OSAGE BEACH PKWY",
            "address_2": "SUITE 108",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650653046",
            "telephone_number": "573-636-3313",
            "fax_number": "573-636-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAYFIELD",
        "first_name": "SAMUEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R1E19",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "241989565",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miriam B. Borden, M.D.
• Norma J Botdorf, RD LD
• Steven B Bouck, CRNA
• Chandler Bowser, CRNA
• John Carlyn Brand, D.O.
• Angela J Breckenridge, DO
• Joshua Palmer Brickner, D.O.
• Darla Lasters Brown, CRNA
• Sarah Elizabeth Brown, MPT
• Gwendolyn Broyles, PMHNP

• Family Medicine Physician in Osage Beach, MO
• Providers in Osage Beach, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.