BRIAN DEAN BRAZZELL FNP NPI 1558614461

NPI Information

  • NPI: 1558614461
  • Provider Name: BRIAN DEAN BRAZZELL, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 105 TEKE BURTON DR
    MITCHELL, IN
    ZIP 47446
  • Phone: (812) 849-3408

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NPI Details

Brian Dean Brazzell, FNP is a family nurse practitioner in Mitchell, IN with 14 years of experience. Brian Dean Brazzell, FNP NPI is 1558614461. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2012

The provider's business location address is:

105 TEKE BURTON DR
MITCHELL, IN
ZIP 47446-208
Phone: (812) 849-3408
Fax: (812) 849-5630

The NPI 1558614461 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg (HCPCS:J3420)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Urinalysis, manual test (HCPCS:81002)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Injection, methylprednisolone sodium succinate, up to 125 mg (HCPCS:J2930)
  • Pneumococcal vaccine, 23-valent (HCPCS:90732)
  • Transitional care management services for problem of high complexity (HCPCS:99496)
  • Blood glucose (sugar) test performed by hand-held instrument (HCPCS:82962)

The enumeration date for this NPI number is 10/17/2012 and was last updated on 12/2/2020.

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 PractitionerFamily28151328INDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
171004232BOTHERINDIANACSR PRESCRIPTIVE AUTHORITY
228151328AOTHERINDIANARN
371004232AOTHERINDIANAFNP LICENSE #

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: 11/21/2025

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