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

Individual provider Physician Assistant · NPI 1811355274

Michael Brazelton, PA-C is a Physician Assistant in Emeryville, California. Graduated from Saint Louis University School of Medicine in 2015, 11 years ago. Practices with Vituity - Illinois Auc LLP, a 34-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
11
Trained at
Saint Louis University School of Medicine
Licensed in
IL
In the registry since
2016
Specialties on file
2
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

2100 Powell St Ste 920
Emeryville, CA 94608
Phone: (510) 350-2777
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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 085005778 (IL)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1811355274
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 1, 2016
Last updated in NPPESJune 11, 2018
Mailing address2100 Powell St, Suite 920, Emeryville, CA 94608-1826

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Vituity - Illinois Auc Llp — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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