Rita Merle Braziel, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

MD13970 Issued in OR

Practice address

3181 SW Sam Jackson Park Rd #L471
Portland, OR 97239-9773

Phone

(503) 494-8276

Fax

(503) 494-2025

NPI assigned

Jul 31, 2006

Sex

Female

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 Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: rbraziel5000@direct.ohsu.edu

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.

• Cascade Pathology Services, Corp

  • Anatomic Pathology & Clinical Pathology Physician
  • Portland, OR
  • NPI 1154465656
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184630400000",
    "number": "1265447759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD # L471",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972399773",
            "telephone_number": "503-494-8276",
            "fax_number": "503-494-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD #L471",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972399773",
            "telephone_number": "503-494-8276",
            "fax_number": "503-494-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZIEL",
        "first_name": "RITA",
        "middle_name": "MERLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OR",
            "license": "MD13970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271510",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harry E Bray, MD
• Jennifer Erin Bray, F.N.P.
• Jeffrey Braytenbah
• Brittany Brazell
• Heather Brazelton
• Patricia Jean Brazil, PH.D.
• Amiya Juliana-Marie Brazzle-Morgan, RN
• Jessie Edward Brazzle Jr., CADC 1
• Terese Brazzle
• Radhika Sekhri Breaden, MD

• Anatomic Pathology & Clinical Pathology Physician in Portland, OR
• Providers in Portland, OR by specialty
• Anatomic Pathology & Clinical Pathology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.