Healthcare Provider Details
I. General information
NPI: 1528011160
Provider Name (Legal Business Name): CURTIS J BRASSEUR DO
Entity Type: Individual
Gender: Male
Sole Proprietor: X
II. Dates (important events)
Enumeration Date: 05/17/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
725 NORTH ST RADIOLOGY DEPARTMENT
PITTSFIELD MA
01201-4132
US
IV. Provider business mailing address
PO BOX 1243
PITTSFIELD MA
01202-1243
US
V. Phone/Fax
- Phone: 413-447-2453
- Fax: 413-447-2451
- Phone: 413-447-2453
- Fax: 413-447-2451
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | 216559 |
| License Number State | MA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0204X |
| Taxonomy | Vascular & Interventional Radiology Physician |
| License Number | 216559 |
| License Number State | MA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: