Elisabeth Brazeal

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

23247 I 30 Unit 7
Bryant, AR 72022-2571

Phone

(501) 313-0592

NPI assigned

Aug 30, 2021

Last updated

Jan 8, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1639847254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 TIMBER RIDGE CIR",
            "city": "SHERIDAN",
            "state": "AR",
            "postal_code": "721507169",
            "telephone_number": "870-917-8973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23247 I 30 UNIT 7",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720222571",
            "telephone_number": "501-313-0592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZEAL",
        "first_name": "ELISABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AR",
            "license": "201612",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Brady
• Tracy Branch
• Amber Nicole Brandon, APRN
• Chelsea Ann Brashears, DMD
• Brayden Brazeal
• Kesaundra Marshay Brazell
• Pashunette Brazell, QBHP
• Bright Eye Care
• Jason Bright, PA
• Anna Brinkley, OD

• Speech-Language Pathologist in Bryant, AR
• Providers in Bryant, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.