DR. MD John William Brazer, NPI 1306821731
Family Medicine Physician in Coquille, OR, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1306821731
NPI Entity Type Individual
Provider Name DR. MD John William Brazer
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 790 E 5th St, Coquille, OR, US
Provider Mailing Address 1900 Woodland Dr, Coos Bay, OR, US, 974200000
Is Sole Proprietor? Yes
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Primary Taxonomy

Taxonomy Code

207Q00000X

Taxonomy Name Family Medicine Physician
Classification

Family Medicine

Group

Allopathic & Osteopathic Physicians

License No. MD07716
License State OR
Description Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

DR. MD John William Brazer
790 E 5th St

Coquille, OR, US

Phone: 541-396-3111
Fax: 541-396-5222

Mailing Address

DR. MD John William Brazer
1900 Woodland Dr
Coos Bay, OR, US
ZIP 974200000
Phone: 541-267-5151
Fax: 541-266-4501

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
080059412 OR RR MEDICARE PTAN NUMBER 01
011239 OR MEDICAID 05
CD8723 OR RR MEDICARE GROUP NUMBER 01
930635514 OR GROUP TAX ID 01
MD07716 OR MEDICAL LICENSE OREGON 01
R0000WFBTV OR GROUP MEDICARE PIN 01
1407812365 OR NBMC NPI NUMBER-GROUP 01

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NPI Name Taxonomy Address

1558919068

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Organization

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Karyssa Ann Endecott

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DR. DMD Rachel Lynn Mendazona

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Nicolle Asencio

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MD Sherilyn M Destefano

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Organization

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PA-C Sara J Wright

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Portland, OR

1467937276

LCSW Victoria Harris

Individual

Counselor

2650 Suzanne Way Ste 120

Eugene, OR

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