Healthcare Provider Details

I. General information

NPI: 1225983968
Provider Name (Legal Business Name): BRASSFIELD GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3128 8TH ST STE D
MERIDIAN MS
39301-4758
US

IV. Provider business mailing address

1405 26TH AVE
MERIDIAN MS
39301-3908
US

V. Phone/Fax

Practice location:
  • Phone: 601-286-3183
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State

VIII. Authorized Official

Name: BRITON BRASSFIELD
Title or Position: OWNER
Credential:
Phone: 601-286-3183