Individual provider Active NPI

Aaron Scott Brasuell, P.A.-C.

  • Medical Physician Assistant
  • Slidell, LA
National Provider Identifier
1386874337
Registry record updated Jul 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA.200232 Issued in LA
Practice address
2780 Gause Blvd E Ste a
Slidell, LA 70461-4149
Phone
(985) 641-5198
Fax
(985) 641-5398
NPI assigned
Jul 23, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA.200232 LA Primary

Addresses

Primary practice location

2780 Gause Blvd E Ste a
Slidell, LA 70461-4149

Mailing address

2780 Gause Blvd E Ste a
Slidell, LA 70461-4149
Phone (985) 641-5198

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120106000746 LA Practitioner - Physician Assistant 0941476261
I20120111000316 MS Practitioner - Physician Assistant 0941476261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.200232LAMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248307200000",
    "number": "1386874337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 GAUSE BLVD E STE A",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704614149",
            "telephone_number": "985-641-5198",
            "fax_number": "985-641-5398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 GAUSE BLVD E STE A",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704614149",
            "telephone_number": "985-641-5198",
            "fax_number": "985-641-5398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASUELL",
        "first_name": "AARON",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-23",
        "last_updated": "2009-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "LA",
            "license": "PA.200232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.