Seth Jonah Brazier

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

11866363-0501 Issued in UT

Practice address

1973 N State St
Provo, UT 84604-1012

Phone

(801) 373-2499

Fax

(801) 373-5200

NPI assigned

May 1, 2013

Last updated

Aug 3, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Seaside Foot and Ankle, Inc.Group PAC ID 5890052310, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: seth.brazier.p1@direct.ariachc.nextgenshare.com

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.

• Seaside Foot and Ankle, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Poway, CA
  • NPI 1326569708

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Coastal Wound Specialists

  dba Coastal Wound Specialists, Inc

  • Surgery Physician
  • Encinitas, CA
  • NPI 1346019254

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1033554324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2561 S 1560 W STE B",
            "city": "WOODS CROSS",
            "state": "UT",
            "postal_code": "840872361",
            "telephone_number": "801-505-0821",
            "fax_number": "801-505-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1973 N STATE ST",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846041012",
            "telephone_number": "801-373-2499",
            "fax_number": "801-373-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8822 S Redwood Rd Ste E121",
            "address_purpose": "LOCATION",
            "city": "West Jordan",
            "state": "UT",
            "postal_code": "840885763",
            "country_code": "US",
            "telephone_number": "801-285-7060",
            "fax_number": "801-285-7061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAZIER",
        "first_name": "SETH",
        "middle_name": "JONAH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-01",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E5251",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "11866363-0501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "11866363-0501",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anita Bowles Brandow
• Shania Brandow
• Emily Louise Branvold
• Hannah Braswell
• Kimberly A Brauer, AUD
• Jeffrey Breckenridge, CSW
• Morgan Hughes Breinholt
• Andrew Mackay Breivik, MD
• Marvin Breton
• Frederick Brewer, LCSW

• Foot & Ankle Surgery Podiatrist in Provo, UT
• Providers in Provo, UT by specialty
• Foot & Ankle Surgery Podiatrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.