Scott Brasseur MD PLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

051816 Issued in MI

Legal business name

SCOTT BRASSEUR MD PLC

Practice address

1005 W Green St
Suite 301
Hastings, MI 49058-1712

Phone

(269) 945-2419

Fax

(269) 945-0357

NPI assigned

Nov 22, 2006

Last updated

Apr 2, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Scott Bennett Brasseur, MD

Title

Member

Phone

(269) 945-2419

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1538234547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 W GREEN ST",
            "address_2": "SUITE 301",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490581712",
            "telephone_number": "269-945-2419",
            "fax_number": "269-945-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W GREEN ST",
            "address_2": "SUITE 301",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490581712",
            "telephone_number": "269-945-2419",
            "fax_number": "269-945-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT BRASSEUR MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "BRASSEUR",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "BENNETT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "269-945-2419",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "051816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4956827",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD",
            "identifier": "DF5489",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tovah Leigh Sanford, MS, OTR
• Kirsten Elizabeth Saverstrom, PHARMD
• Matthew T Scarff, MD
• Sara Scofield
• Scott Bloom OD PLC
• Duane Secord, MA, LLP
• Jamie See, LMSW
• Melissa M Seeger, RN
• Jennifer Lee Seif, CPM, LM
• Jordyn Paige Seiser, DPT, PT

• Internal Medicine Physician in Hastings, MI
• Providers in Hastings, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.