BRADLEY SCOTT HAZEL APRN NPI 1043940646

NPI Information

  • NPI: 1043940646
  • Provider Name: BRADLEY SCOTT HAZEL, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 48 DOCTORS PARK
    CAPE GIRARDEAU, MO
    ZIP 63703
  • Phone: (573) 335-8257

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NPI Details

Bradley Scott Hazel, APRN is a family nurse practitioner in Cape Girardeau, MO with 3 years of experience. Bradley Scott Hazel, APRN NPI is 1043940646. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

48 DOCTORS PARK
CAPE GIRARDEAU, MO
ZIP 63703-928
Phone: (573) 335-8257
Fax: (573) 335-8424

The NPI 1043940646 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/15/2022 and was last updated on 6/15/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily2022021026MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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