Adam Brazas, PHD

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

P9008114 Issued in AR

Practice address

8 Medical PLZ
Mountain Home, AR 72653-2919

Phone

(870) 425-6901

Fax

(870) 424-8703

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Ozark Counseling Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mountain Home, AR
  • NPI 1043266315
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291852800000",
    "number": "1831104363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1776",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726541776",
            "telephone_number": "870-425-6901",
            "fax_number": "870-424-8703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MEDICAL PLZ",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532919",
            "telephone_number": "870-425-6901",
            "fax_number": "870-424-8703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZAS",
        "first_name": "ADAM",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2010-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "AR",
            "license": "P9008114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "56587",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanner Brannon, APRN-CNP
• Caitlin Nicole Branscum
• Tatanya Branscum, PTA
• Gale Brantley, CRNA
• Twyla Brashear
• Jodi Breedlove
• Leigh Ann Brewer
• Bridge Builder'S Transportation, LLC
• Bright Chiropractic LLC
• Sarah D Bright, D.C.

• Cognitive & Behavioral Psychologist in Mountain Home, AR
• Providers in Mountain Home, AR by specialty
• Cognitive & Behavioral Psychologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; 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.