Active NPI
Scott Robert Brazer, MD
- Gastroenterology Physician
- Durham, NC
National Provider Identifier
1891755153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 026637
- Practice address
- 249 E NC Highway 54
Suite 200
Durham, NC 27713-7512 - Phone
- (919) 806-8322
- Fax
- (919) 433-0409
- NPI assigned
- Mar 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 026637 | NC | Primary |
Addresses
Primary practice location
249 E NC Highway 54
Suite 200
Durham, NC 27713-7512
Mailing address
PO Box 63362
Charlotte, NC 28263-3362
Phone (919) 684-8111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8918082 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026637 | NC | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409875200000",
"number": "1891755153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 63362",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282633362",
"telephone_number": "919-684-8111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "249 E NC HIGHWAY 54",
"address_2": "SUITE 200",
"city": "DURHAM",
"state": "NC",
"postal_code": "277137512",
"telephone_number": "919-806-8322",
"fax_number": "919-433-0409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAZER",
"first_name": "SCOTT",
"middle_name": "ROBERT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2014-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NC",
"license": "026637",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8918082",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.