Individual provider Active NPI

Donald Scott Brazell, M.D.

  • Family Medicine Physician
  • Miramar, FL
National Provider Identifier
1942217286
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H7921 Issued in TX
Practice address
3350 SW 148TH Ave Ste 300
Miramar, FL 33027-3259
Phone
(800) 400-6354
NPI assigned
Aug 1, 2006
Last updated
Oct 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H7921 TX Primary

Addresses

Primary practice location

3350 SW 148TH Ave Ste 300
Miramar, FL 33027-3259

Mailing address

14 Spring Creek PL
Longview, TX 75604-3600
Phone (903) 235-3347

Other names 1

  • Dr. D. Scott Brazell Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100120000163 TX Practitioner - Family Practice 5991847618 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
H7921TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas Family Medicine CurrentSince Jul 1, 2017 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jul 1, 2017 Accepting new patients
East Texas Border Health Clinic Family Medicine Past Accepting new patients

Locations

1600 Broadway Ave
Gladewater, TX 75647
Phone (903) 315-5630

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

707 Hollybrook Dr
Ste 403
Longview, TX 75605
Phone (903) 758-1964

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1942217286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 SPRING CREEK PL",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756043600",
            "telephone_number": "903-235-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 SW 148TH AVE STE 300",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330273259",
            "telephone_number": "800-400-6354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZELL",
        "first_name": "DONALD",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H7921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "D.",
            "last_name": "BRAZELL",
            "middle_name": "SCOTT",
            "prefix": "DR.",
            "credential": "M.D., FAAFP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.