Leigh Ann Brasel, P.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

08843 Issued in AR

Practice address

3499 Bella Vista Way
Bella Vista, AR 72714-5740

Phone

(479) 273-9136

Fax

(479) 273-9155

NPI assigned

Nov 10, 2011

Sex

Female

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

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.

• Walgreen Co

  • Pharmacy
  • Bella Vista, AR
  • NPI 1245245513
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320883200000",
    "number": "1528345014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3499 BELLA VISTA WAY",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727145740",
            "telephone_number": "479-273-9136",
            "fax_number": "479-273-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3499 BELLA VISTA WAY",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727145740",
            "telephone_number": "479-273-9136",
            "fax_number": "479-273-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASEL",
        "first_name": "LEIGH",
        "middle_name": "ANN",
        "credential": "P.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-10",
        "last_updated": "2011-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "08843",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "41501",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Blackketter, D.C.
• Linda Lou Boen
• Courtney Selck Book, M.D.
• Stephanie Jane Brackeen, LMT
• Katrina Elizabeth Bradley, PHARMD
• Alli Kristen Brooks, PA-C
• Ralph W Brown III, PT
• Burnett Transit Care LLC
• Gracie Anne Campbell, PT, DPT
• Rebekah Dawn Campos, DO

• Pharmacist in Bella Vista, AR
• Providers in Bella Vista, AR by specialty
• Pharmacist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.