Healthcare Provider Details

I. General information

NPI: 1801545900
Provider Name (Legal Business Name): JOHN R BRAZIL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2022
Last Update Date: 02/04/2026
Certification Date: 02/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 TRANCAS ST
NAPA CA
94558-2906
US

IV. Provider business mailing address

1000 TRANCAS ST
NAPA CA
94558-2906
US

V. Phone/Fax

Practice location:
  • Phone: 707-489-0021
  • Fax:
Mailing address:
  • Phone: 707-252-4411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberA187654
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: