Brazeal LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BRAZEAL LLC

Practice address

197 W Chestnut St
Burlington, WI 53105-1200

Phone

(520) 236-3343

NPI assigned

Jun 21, 2023

Last updated

Jun 21, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Brazeal

Title

Student Intern

Phone

(520) 236-3343

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1184309668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4255 WILDERNESS DR",
            "city": "MT PLEASANT",
            "state": "WI",
            "postal_code": "534034400",
            "telephone_number": "520-236-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 W CHESTNUT ST",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531051200",
            "telephone_number": "520-236-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAZEAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "BRAZEAL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "STUDENT INTERN",
        "authorized_official_telephone_number": "520-236-3343"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carin Elizabeth Bowman, LPN
• Cassandra Braam, PH.D.
• Annette Brauckhoff
• Tria Braun, CAPSW, LCSW
• Lisa L Bray, FNP-BC
• Christopher Michael Breytspraak, D.C.
• Aaron Joseph Brown, ACNP
• Thomas D Brucker, MD
• Troy E Bruesewitz, DC
• Renee J Buettner

• Mental Health Clinic/Center (Including Community Mental Health Center) in Burlington, WI
• Providers in Burlington, WI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.