Active NPIIndividual provider

Dr. Jason D Brazelton, MD

Pathology, Anatomic Pathology & Clinical Pathology in Burlington, Vermont

NPI Number1407098957
Practice location
111 Colchester Ave, Burlington, VT 05401
Fax
—
Last updated
August 3, 2018

Dr. Jason D Brazelton, MD is a Pathology, Anatomic Pathology & Clinical Pathology based in Burlington, VT. Dr. Jason D Brazelton, MD holds the professional credentials of MD. The NPI number for Dr. Jason D Brazelton, MD is 1407098957 and holds license No. 175972 (OR). The current practice location address is 111 Colchester Ave, Burlington, VT 05401 and the office can be reached by phone at 802-847-5121. The NPI was assigned on March 30, 2009 and the record was last updated in NPPES on August 3, 2018.

●Provider Profile Details

NPI Number
1407098957
Provider Name
Jason Douglas Brazelton
Credential
MD
Entity Type
Individual (Type 1 NPI)
Gender
Male
Sole Proprietor
No
Enumeration Date
March 30, 2009
Last Update Date
August 3, 2018
NPI Status
Active
Other Names
-- Jason Douglas Brazelton-Hughes (Former Name)

◉Business Practice Location Address

Address
111 Colchester Ave
Burlington, VT 05401
State
Vermont
ZIP
05401
Country
US
Phone Number
802-847-5121

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✉Business Mailing Address

Address
1348 NE Cushing Dr
Suite 200
Bend, OR 97701-3876
City
Bend
State
OR
ZIP
97701-3876
Phone Number
541-382-7696
Fax Number
541-389-5723

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Pathology, Anatomic Pathology & Clinical Pathology207ZP0102XNo175972OR
Pathology, Anatomic Pathology & Clinical Pathology207ZP0102XYes042.0014078VT

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Dr. Jason D Brazelton, MD?

The NPI number of Dr. Jason D Brazelton, MD is 1407098957. It was assigned on March 30, 2009 and is currently active in the NPPES registry.

What is the specialty of Dr. Jason D Brazelton, MD?

Dr. Jason D Brazelton, MD is registered under the primary taxonomy Pathology, Anatomic Pathology & Clinical Pathology (code 207ZP0102X) and holds license No. 175972 (OR).

Where does Dr. Jason D Brazelton, MD practice?

The practice location is 111 Colchester Ave, Burlington, VT 05401. The office can be reached at 802-847-5121 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407098957 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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