Timothy Charles Brazeal, MS, ATC, PA
Timothy Charles Brazeal, MS, ATC, PA is a Physician Assistant in Lebanon, Missouri. Qualified in 2017, 9 years ago. Practices with Mercy Clinic Springfield Communities, a 1,126-clinician group and accepts Medicare assignment. Licensed in Missouri.
- Years since qualifying
- 9
- Licensed in
- MO
- In the registry since
- 2010
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
331 Hospital Dr Ste DLebanon, MO 65536-9217
Phone: (417) 533-6315
Fax: (417) 533-6320
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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 2018004459 (MO) |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X · Licence 200901846 (MO) |
Record details
| NPI number | 1083933485 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MS , ATC , PA |
| Sole proprietor | No |
| NPI enumerated | May 25, 2010 |
| Last updated in NPPES | July 23, 2024 |
| Certification date | July 23, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Group practice | Mercy Clinic Springfield Communities — 1126 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Lebanon
-
Houston Freeman
535 Woody, Lebanon, MO 65536-8263 · (417) 597-2408
-
Bayli Lenn Griffin, DPT
224 W Commercial St, Lebanon, MO 65536-3146 · (816) 738-1852