Emilia C Brasil

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DL11508 Issued in MA

Practice address

636 Columbia Rd
Dorchester, MA 02125-3416

Phone

(617) 825-9839

NPI assigned

May 17, 2012

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

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.

• Upham'S Corner Health Committee, Inc.

  • Community Health Clinic/Center
  • Dorchester, MA
  • NPI 1780780486
  NPD (past)

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337212800000",
    "number": "1538429089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 CYPRESS ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024456717",
            "telephone_number": "617-566-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 COLUMBIA RD",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021253416",
            "telephone_number": "617-825-9839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASIL",
        "first_name": "EMILIA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-17",
        "last_updated": "2012-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DL11508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myles Bowen, M.A.
• Ivy Lynn Brackup, MD
• Kelley D Bradshaw
• Michelle Marie Brady, R.N
• Edward Branson, NP
• Lindsay Coffey Braun, O.D.
• Josh Bray
• Skye Brazille, M.D.
• Bettina Brea, RN
• Ashley Breen, RN

• General Practice Dentistry in Dorchester, MA
• Providers in Dorchester, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; 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.