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NPI Code Detail

MEDICARE: CODY BRAZEAL

MEDICARE:   CODY  BRAZEAL
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
1207L00000XAnesthesiology Physician20A21856CA
2390200000XStudent in an Organized Health Care Education/Training Program20A21856CA

General Provider Information

NPI Number : 1326798075
Entity Type Code : Individual
Provider Name (Legal Business Name) : CODY BRAZEAL
Provider Business Mailing Address
First Line : 400 W MINERAL KING AVE
Second Line :
City : VISALIA
State : CA
Zip : 93291-6237
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 400 W MINERAL KING AVE
Second Line :
City : VISALIA
State : CA
Zip : 93291-6237
Country : US
Telephone Number : 559-624-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2022
Last Update Date : 06/08/2026

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Directions to “ CODY BRAZEAL ” Practice Location

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