JENNIFER MARIE BRAZIEL (NPI# 1649468273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649468273 |
| Entity Type | Individual |
| Full Name | JENNIFER MARIE BRAZIEL |
| Credential | NP |
| Practice Address |
1020 S State Highway 16 Fredericksburg TX 78624-4471 |
| Mailing Address |
205 W Windcrest St Ste 100 Fredericksburg TX 78624-4479 |
| Practice Telephone | 8309904453 |
| Practice Fax Number | 8309907917 |
| Mailing Telephone | 8309904963 |
| Mailing Fax Number | 8309901892 |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2015-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
673379 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 833N84 | 01 |
| TX | 282253801 | 05 |
| Street Address |
1020 S STATE HIGHWAY 16 |
| City | FREDERICKSBURG |
| State | TX |
| Zip Code | 78624-4471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770566861 | Marshall Wade Cunningham | Plastic Surgery | 1020 S State Highway 16, Fredericksburg, TX 78624-4471 | 2005-11-22 |
| 1679190045 | Brooke Eckert | Occupational Therapist | 1020 S State Highway 16, Fredericksburg, TX 78624-4471 | 2020-07-01 |
| 1942827597 | Angela Fiedler | Physical Therapist | 1020 S State Highway 16, Fredericksburg, TX 78624-4471 | 2020-06-30 |
| 1285251850 | Beverly Van Geffen | Physical Therapist | 1020 S State Highway 16, Fredericksburg, TX 78624-4471 | 2020-06-30 |
| 1164976569 | Cross Mountain Inpatient Services Pllc | Hospitalist | 1020 S State Highway 16, Fredericksburg, TX 78624-4471 | 2016-08-15 |
| 1598116907 | Texas Em-i Medical Services Pa | Physician Assistant | 1020 S State Highway 16, Fredericksburg, TX 78624-4471 | 2016-06-27 |
| 1235580648 | Barons Creek Emergency Physicians Pllc | Emergency Medicine | 1020 S State Highway 16, Fredericksburg, TX 78624-4471 | 2016-06-27 |
| 1609241553 | Winter Honig Peuziat | Nurse Practitioner | 1020 S State Highway 16, Fredericksburg, TX 78624-4471 | 2015-12-03 |
| 1851719025 | Gregory Shaun Wiggins | Nurse Anesthetist, Certified Registered | 1020 S State Highway 16, Fredericksburg, TX 78624-4471 | 2014-04-03 |
| 1417382441 | Fritztown Anesthesia Associates, Pllc | Nurse Anesthetist, Certified Registered | 1020 S State Highway 16, Fredericksburg, TX 78624-4471 | 2013-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992357669 | Cynthia Hui Kim | Registered Nurse | 1020 S State, Tx-16, Fredericksburg, TX 78624 | 2019-07-12 |
| 1023515533 | Fredericksburg Eye Associates, Pllc | Ophthalmology | 755 S. Washington St., Fredericksburg, TX 78624 | 2018-04-11 |
| 1922503358 | Ave Maria Hospice of Fredericksburg, LLC | Hospice Care, Community Based | 204 S. Adams St. #a, Fredericksburg, TX 78624 | 2018-03-27 |
| 1225568546 | David Ronald Rickerhauser | Counselor | 400 Prairie View Trail, Fredericksurg, TX 78624 | 2017-06-19 |
| 1144629734 | Amy Taylor | Nurse Practitioner | 1020 Hwy 16, Fredericksburg, TX 78624 | 2014-08-19 |
| 1578836532 | James W. Harrington Jr. | Otolaryngology | 644 Red Oak Lane, Fredericksburg, TX 78624 | 2012-02-21 |
| 1366676447 | Pamela Elaine Hansen | Counselor | 607 Pesimmon Ct., Fredericksburg, TX 78624 | 2009-05-05 |
| 1457526048 | Celine Bicquart Ord | Radiology | 753 S Washington St Bldg D, Fredericksburg, TX 78624 | 2008-04-24 |
| 1669669024 | Rebecca S Prescott | Dentist | 408 N Milam St, Fredericksburg, TX 78624 | 2007-10-01 |
| 1407046626 | Charles Richard Massey Jr. | General Practice | 103 Goehmann Lane, Fredericksburg, TX 78624 | 2007-07-25 |
| Find all providers in zip 78624 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023648086 | Sherrica Minor | Nurse Practitioner | 1731 Hudgins Farm Cir, Fredericksburg, VA 22408-4179 | 2020-01-17 |
| 1952829665 | Rachel Brittany Ambrose | Nurse Practitioner | 10718 Ballantraye Dr Ste 404, Fredericksburg, VA 22407-4703 | 2017-09-01 |
| 1427444694 | Corinnia F Wagner | Nurse Practitioner | 1001 Sam Perry Blvd., Fredericksburg Hospitalist Group, Fredericksburg, VA 22401 | 2015-04-14 |
| 1174553465 | Dianne Denise Pittman | Nurse Practitioner | 204 W Schubert St, Fredericksburg, TX 78624-3847 | 2006-07-03 |
| 1538769971 | Precious Dionne Harris | Nurse Practitioner | 43 Noel Dr, Fredericksburg, VA 22408-2501 | 2020-10-26 |
| 1851930838 | Markia Stewart Dudley | Nurse Practitioner | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2019-12-23 |
| 1962048124 | Frances Joyce Bergman | Nurse Practitioner | 521 Park Hill Dr, Fredericksburg, VA 22401-3377 | 2019-11-22 |
| 1558911909 | Amy Thorpe Dahart | Nurse Practitioner | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2019-09-18 |
| 1407328834 | Janie Lovette Green | Nurse Practitioner | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2018-12-25 |
| 1578048666 | Leigh Mary Skehan | Nurse Practitioner | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2018-09-25 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 78624 |
Please comment or provide details below to improve the information on JENNIFER MARIE BRAZIEL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.