Active NPI
Jared Michael Brazg, M.D.
- Emergency Medicine Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 285963
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLCWestern Washington Emergency Physicians PLLCFranciscan Medical GroupVirginia Mason Medical Center
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
- Astria Sunnyside Hospital
- St Michael Medical Center
- Virginia Mason Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60864134 | WA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Observation Associates PC | Current | Accepting new patients | |
| Northwest Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Franciscan Medical Group | Current | Accepting new patients | |
| Franciscan Medical Group | Current | Accepting new patients | |
| Maimonides Medical Center | Current | Accepting new patients | |
| Virginia Mason Medical Center | Emergency Medicine | Current | Accepting new patients |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Franciscan Medical Group | Current | Accepting new patients | |
| Virginia Mason Medical Center | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Olympia Emergency Care Physicians PLLC | Emergency Medicine | Current | Accepting new patients |
| Sunnyside Emergency Group a Professional LLC | Emergency Medicine | Current | Accepting new patients |
| Virginia Mason Medical Center | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | 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
- 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.
-
- Emergency Medicine Physician
- Sunnyside, WA
- NPI 1033529367
Emergency Medicine, WA
-
- Emergency Medicine Physician
- Parkland, WA
- NPI 1801352505
WA
-
- Multi-Specialty Clinic/Center
- Seattle, WA
- NPI 1396810701
WA
-
- Emergency Medicine Physician
- Arlington, WA
- NPI 1235172370
Emergency Medicine, WA
-
- Emergency Medicine Physician
- Olympia, WA
- NPI 1396498671
Emergency Medicine, WA
-
- Family Medicine Physician
- Tacoma, WA
- NPI 1366539421
-
- Internal Medicine Physician
- Silverdale, WA
- NPI 1710432612
-
- Interventional Cardiology Physician
- Tacoma, WA
- NPI 1821711953
-
- Surgery Physician
- Federal Way, WA
- NPI 1356560056
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Silverdale, WA
- NPI 1518912609
Hospital
-
- Critical Access Hospital
- Sunnyside, WA
- NPI 1225033814
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.