Brazell H Carter MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A30396 Issued in CA

Legal business name

BRAZELL H CARTER MD INC

Practice address

2600 Macdonald Ave
Richmond, CA 94804-1826

Phone

(510) 236-8487

Fax

(510) 235-8650

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Brazell H Carter, MD

Title

Physician

Phone

(510) 236-8484

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224806400000",
    "number": "1700968807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 MACDONALD AVE",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948041826",
            "telephone_number": "510-236-8484",
            "fax_number": "510-235-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 MACDONALD AVE",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948041826",
            "telephone_number": "510-236-8487",
            "fax_number": "510-235-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAZELL H CARTER MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2008-10-24",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "BRAZELL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "510-236-8484",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A30396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DN5243",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "757111935",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A303960",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Richmond, CA
• Providers in Richmond, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.