MEDICARE: MR. JAMES THOMAS BRAWLEY IDC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1710I1002X	Independent Duty Corpsman

General Provider Information

NPI Number	:	1215130414
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JAMES THOMAS BRAWLEY IDC

Provider Business Mailing Address
First Line	:	321 BULLFINCH RD
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32407-7012
Country	:	US
Telephone Number	:	850-230-3238
Fax Number	:	850-230-3234

Provider Business Practice Location Address
First Line	:	321 BULLFINCH RD
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32407-7012
Country	:	US
Telephone Number	:	850-230-3238
Fax Number	:	850-230-3234

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1336342591 — MR. MICHAEL JESSE LEWIS IDC
Practice Location Address:

321 BULLFINCH RD
PANAMA CITY, FL
32407-7012

Practice Phone: 850-230-3236
Practice Fax: 850-230-3234

1558555094 — CHRISTOPHER RYAN LOVING
Practice Location Address:

321 BULLFINCH RD
PANAMA CITY BEACH, FL
32407-7012

Practice Phone: 850-230-3275
Practice Fax:

1841462579 — JEROMY CRONIN US NAVY IDC
Practice Location Address:

321 BULLFINCH RD
PANAMA CITY BEACH, FL
32407-7012

Practice Phone: 850-230-3100
Practice Fax:

1477866432 — SCOTT ALLAN ROLLER IDC
Practice Location Address:

321 BULLFINCH RD
PANAMA CITY BEACH, FL
32407-7012

Practice Phone: 850-230-3275
Practice Fax: 850-230-3197

1124320114 — MICHAEL WADE FAASEN IDC
Practice Location Address:

321 BULLFINCH RD
PANAMA CITY BEACH, FL
32407-7012

Practice Phone: 850-230-3275
Practice Fax: 850-230-3197

1053689752 — MICHAEL S HAMMAN
Practice Location Address:

321 BULLFINCH RD
PANAMA CITY, FL
32407-7012

Practice Phone: 850-230-3100
Practice Fax: 850-230-3197

Directions to “ MR. JAMES THOMAS BRAWLEY IDC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.