Austin William Brasher

Primary specialty

DentistTaxonomy code 122300000X

License

7313 Issued in OK

Practice address

1202 E Main St
Tishomingo, OK 73460-2409

Phone

(580) 371-2396

NPI assigned

Feb 24, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Okdi PLLC

  • Dental Clinic/Center
  • Oklahoma City, OK
  • NPI 1326711094
  NPD Authorized official
• Blue River Smiles PLLC

  • General Practice Dentistry
  • Tishomingo, OK
  • NPI 1760069520
  NPD
• Mission Dental Mobile LLC

  • Dentist
  • Bessemer, AL
  • NPI 1205694932
  NPD
• Ron Austin, DDS, Inc

  • Dentist
  • Tishomingo, OK
  • NPI 1275694853
  NPD (past)

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1285268771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 GEETA RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730033707",
            "telephone_number": "405-474-6361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 E MAIN ST",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734602409",
            "telephone_number": "580-371-2396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 6th Ave N",
            "address_purpose": "LOCATION",
            "city": "Bessemer",
            "state": "AL",
            "postal_code": "350204849",
            "country_code": "US",
            "telephone_number": "205-434-2031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRASHER",
        "first_name": "AUSTIN",
        "middle_name": "WILLIAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-24",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "7313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue River Smiles PLLC
• Amanda Kay Blue
• Joyce Lee Boone
• Lacy Anne Borengasser, LPC CANDIDATE
• Darci Lynn Bowen, APRN-CNP
• Shelley Bridgeman, B.A.
• Katie Janelle Brister
• Brittany Walker
• Natalie Alise Brixey, MD
• Bryan L. Johnson, O.D. P.C.

• Dentist in Tishomingo, OK
• Providers in Tishomingo, OK by specialty
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.