Individual provider · Type 1 NPI

Timothy Charles Brazeal, MS, ATC, PA

Physician Assistant · Lebanon, MO

NPI number 1083933485 Active

Practice location

331 Hospital Dr, Suite D
Lebanon, MO 65536-9217

Call (417) 533-6315 Map

Fax (417) 533-6320

Mailing address

2851 Clearview Dr
Mansfield, MO 65704-7212

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300X200901846 (MO)
Physician Assistant Primary 363A00000X2018004459 (MO)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1083933485

Timothy Charles Brazeal, MS, ATC, PA's National Provider Identifier is 1083933485, issued on May 25, 2010. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Lebanon, MO. The record was last updated on Jul 23, 2024.