Brasfield, Jim Carroll

Brasfield, Jim Carroll is an individual health care provider with primary practice located at 320 Bristol Blvd W , Bristol TN 37620-8765. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Brasfield, Jim Carroll can be contacted via phone (423) 844-6407.

Contact Information

Primary practice address
320 Bristol Blvd W Bristol TN 37620-8765
Phone: (423) 844-6407
Fax: (423) 793-7004
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 9991 Tennessee

Profile Details

NPI number 1558399089
LBN Legal business name Brasfield, Jim Carroll
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Jan 12th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558399089 NPPES
Tennessee Other 3014517 UMWA
Tennessee Other 4005735 UMWA
Tennessee Other 7817131 UMWA
Tennessee MEDICAID 006101208 UMWA
Tennessee Other 140007601 UMWA
Tennessee Other 361712500 UMWA
Tennessee Other TN0101 UMWA

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