| Scott Brassfield MD PC | |
|
3220 N Academy Blvd 5 Colorado Springs CO 80917-5115 | |
| (719) 574-3600 | |
| (719) 574-1686 |
| Full Name | Scott Brassfield MD PC |
|---|---|
| Speciality | Family Medicine |
| Location | 3220 N Academy Blvd, Colorado Springs, Colorado |
| Authorized Official Name and Position | Scott Brassfield (PHYSICIANS) |
| Authorized Official Contact | 7195743600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Brassfield MD PC 3220 N Academy Blvd 5 Colorado Springs CO 80917-5115 Ph: (719) 574-3600 | Scott Brassfield MD PC 3220 N Academy Blvd 5 Colorado Springs CO 80917-5115 Ph: (719) 574-3600 |
| NPI Number | 1740426170 |
|---|---|
| Provider Enumeration Date | 01/07/2009 |
| Last Update Date | 05/19/2010 |
| Medicare PECOS PAC ID | 1557418563 |
|---|---|
| Medicare Enrollment ID | O20090408000636 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740426170 | NPI | - | NPPES |
| 01226448 | Medicaid | CO | |
| 22644 | Other | CO | STATE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | CO22644 (Colorado) | Primary |
| Provider Name | Thomas S Brassfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285770651 PECOS PAC ID: 1850324401 Enrollment ID: I20090702000440 |
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