Individual provider Active NPI

Jared Michael Brazg, M.D.

  • Emergency Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1992048631
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
285963 Issued in NY
Practice address
4802 10TH Ave
Maimonides Medical Center
Brooklyn, NY 11219
Phone
(206) 455-0642
NPI assigned
Apr 1, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD60864134 WA
Emergency Medicine Physician 207P00000X 285963 NY Primary

Addresses

Primary practice location

4802 10TH Ave
Maimonides Medical Center
Brooklyn, NY 11219

Mailing address

4802 10TH Avenue
Maimonides Medical Center
Brooklyn, NY 11219

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20191112000937 WA Practitioner - Emergency Medicine 4284920331 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunnyside Emergency Group a Professional LLC 17 clinicians
Western Washington Emergency Physicians PLLC 78 clinicians
Franciscan Medical Group 1,400 clinicians
Virginia Mason Medical Center 867 clinicians

Practice addresses (Care Compare)

1016 Tacoma Ave
Sunnyside, WA 98944-2263
Phone (509) 837-1707

14815 Pacific Ave S
Tacoma, WA 98444-4654
Phone (253) 697-8660

4205 Kitsap Way
Bremerton, WA 98312-2447
Phone (360) 782-7780

925 Seneca St
Seattle, WA 98101-2742
Phone (206) 223-6600

Hospital & facility affiliations

  • Multicare Good Samaritan Hospital Hospital, Puyallup, WA, CCN 500079
  • Astria Sunnyside Hospital Hospital, Sunnyside, WA, CCN 501330
  • St Michael Medical Center Hospital, Silverdale, WA, CCN 500039
  • Virginia Mason Medical Center Hospital, Seattle, WA, CCN 500005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60864134WAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Observation Associates PC CurrentSince Oct 31, 2019 Accepting new patients
Northwest Emergency Physicians LLC Emergency Medicine CurrentSince Oct 31, 2019 Accepting new patients
Franciscan Medical Group CurrentSince Apr 1, 2025 Accepting new patients
Franciscan Medical Group Current Accepting new patients
Maimonides Medical Center Current Accepting new patients
Virginia Mason Medical Center Emergency Medicine CurrentSince Dec 9, 2021 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Oct 1, 2019 Accepting new patients
Franciscan Medical Group CurrentSince Apr 1, 2025 Accepting new patients
Virginia Mason Medical Center CurrentSince Dec 9, 2021 Accepting new patients
Kaiser Foundation Health Plan of Washington Current Accepting new patients
Olympia Emergency Care Physicians PLLC Emergency Medicine CurrentSince Jun 1, 2022 Accepting new patients
Sunnyside Emergency Group a Professional LLC Emergency Medicine CurrentSince Mar 27, 2022 Accepting new patients
Virginia Mason Medical Center Current Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Oct 1, 2019 Accepting new patients

Locations

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

4205 Kitsap Way
Bremerton, WA 98312
Phone (360) 782-7780

34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100

3900 Capital Mall Dr SW
Olympia, WA 98502
Phone (360) 704-4743

925 Seneca St
Seattle, WA 98101
Phone (206) 341-0860

125 16th Ave E
Seattle, WA 98112
Phone (206) 326-3530

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

1016 Tacoma Ave
Sunnyside, WA 98944
Phone (509) 823-6682

1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

Interoperability endpoints

  • Direct secure messaging: jaredbrazg@mai.allscriptsdirect.net

Organizations & group practices 32

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.

View all 32

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1992048631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4802 10TH AVENUE",
            "address_2": "MAIMONIDES MEDICAL CENTER",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4802 10TH AVE",
            "address_2": "MAIMONIDES MEDICAL CENTER",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11219",
            "telephone_number": "206-455-0642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZG",
        "first_name": "JARED",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-01",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD60864134",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "285963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.