Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Erin Elizabeth Brazzale, PA-C

Individual provider Physician Assistant · NPI 1104566090

Erin Elizabeth Brazzale, PA-C is a Physician Assistant in Fort Collins, Colorado. Qualified in 2021, 5 years ago. Practices with Advanced Dermatology of Colorado PC, a 64-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
5
Licensed in
CO
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1006 Centre Ave
Fort Collins, CO 80526-1849
Phone: (970) 482-9001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA0007016 (CO)

Record details

NPI number1104566090
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMarch 30, 2022
Last updated in NPPESDecember 15, 2022
Certification dateDecember 15, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Advanced Dermatology Of Colorado Pc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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