Healthcare Provider Details

I. General information

NPI: 1548250848
Provider Name (Legal Business Name): STEVEN DAVID BRASS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2005
Last Update Date: 08/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4860 Y ST SUITE 0100
SACRAMENTO CA
95817-2307
US

IV. Provider business mailing address

4860 Y ST SUITE 0100
SACRAMENTO CA
95817-2307
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-3588
  • Fax:
Mailing address:
  • Phone: 916-734-3588
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number216732
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberC53710
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: