LARRY R BRAZLEY MD, LTD – NPI #1821006545
Internal Medicine

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.

LARRY R BRAZLEY MD, LTD is a provider located in MERRILLVILLE, IN. NPPES has assigned the NPI number 1821006545 to LARRY R BRAZLEY MD, LTD on August 04, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RR0500X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Rheumatology

The NPI profile was previously updated about 18 years ago on Jun 09, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LARRY R BRAZLEY MD, LTD below.

NPI Profile for
LARRY R BRAZLEY MD, LTD

NPI Number
1821006545
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LARRY R BRAZLEY MD, LTD
Primary location
255 E 90TH DR
MERRILLVILLE, IN 46410-8144
Phone: (219) 791-0248 Fax: (219) 791-0251
Mailing address
55 E 86TH AVE
PO BOX 10645
MERRILLVILLE, IN 46410-6382
Phone: (219) 769-1670 Fax: (219) 738-6714
Organization Subpart
No
Authorized Official
LARRY BRAZLEY
PHYSICIAN/OWNER
Phone: (219) 769-1670
Updated
Identifiers

Identifiers for LARRY R BRAZLEY MD, LTD

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIN100169080
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RR0500X
- Internal Medicine / Rheumatology (Primary)
IN 01032396

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.