Individual provider Active NPI

Michael Hugh Brasfield, M.D.

  • Internal Medicine Physician
  • Jasper, AL
National Provider Identifier
1194734665
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
8354 Issued in AL
Practice address
1450 Jones Dairy Rd.
BLDG 400
Jasper, AL 35501
Phone
(205) 221-0562
Fax
(205) 221-0564
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 8354 AL Primary

Addresses

Primary practice location

1450 Jones Dairy Rd.
BLDG 400
Jasper, AL 35501

Mailing address

1450 Jones Dairy Rd.
BLDG 600
Jasper, AL 35501
Phone (205) 295-4100

Other identifiers 1

IdentifierTypeStateIssuer
000082993MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041210000309 AL Practitioner - Internal Medicine 0547226466 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8354ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Walker Medical Diagnostics, LLC Internal Medicine CurrentSince Dec 1, 2006 Accepting new patients
Walker Medical Diagnostics, LLC CurrentSince Dec 1, 2006 Accepting new patients

Locations

1450 Jones Dairy Rd
Ste 400
Jasper, AL 35501
Phone (205) 221-0562

1450 Jones Dairy Rd
Ste 600
Jasper, AL 35501
Phone (205) 295-4100

1450 Jones Dairy Rd
Bldg 6
Jasper, AL 35501
Phone (205) 295-4100

1450 Jones Dairy Rd
Bldg 4
Jasper, AL 35501
Phone (205) 221-0562

Interoperability endpoints

  • Direct secure messaging: michael.brasfield@walkmed.direct.medconnect-inc.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1194734665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 JONES DAIRY RD.",
            "address_2": "BLDG 600",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "35501",
            "telephone_number": "205-295-4100",
            "fax_number": "205-221-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 JONES DAIRY RD.",
            "address_2": "BLDG 400",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "35501",
            "telephone_number": "205-221-0562",
            "fax_number": "205-221-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASFIELD",
        "first_name": "MICHAEL",
        "middle_name": "HUGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "8354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000082993",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, AL

Sources for this page

Verify at the official NPI Registry.