Jeffrey D Brassart, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

12787 Issued in AL

Practice address

701 Will Halsey Way
Madison, AL 35758-2592

Phone

(256) 461-7440

Fax

(256) 461-7168

NPI assigned

Jun 5, 2006

Last updated

Feb 1, 2011By 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 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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.

• Cornerstone Pediatrics, P.C

  • Pediatrics Physician
  • Madison, AL
  • NPI 1285679381
  NPD (past)

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296518400000",
    "number": "1033158233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 WILL HALSEY WAY",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582592",
            "telephone_number": "256-461-7440",
            "fax_number": "256-461-7168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 WILL HALSEY WAY",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582592",
            "telephone_number": "256-461-7440",
            "fax_number": "256-461-7168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASSART",
        "first_name": "JEFFREY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2011-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "12787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000031911",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0000120055505",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA BLUE CROSS",
            "identifier": "51031911",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4259162",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jatavia Bradley, MS
• Brittany Leigh Brakefield, FNP-C
• Rita Wiggins Branch, FNP
• Lillian Teicher Branham, NP
• Emily Kate Brannon
• Magdaline Hicks Braxton, LMFT
• Bryan Brazelle
• Dagan M Breakfield III, CRNP
• Breaking Dawn LLC
• Maegan Brecher, LMSW

• Pediatrics Physician in Madison, AL
• Providers in Madison, AL by specialty
• Pediatrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; 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.