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NPI Code Detail

MEDICARE: DR. RICHARD EVERS BRASHEAR

MEDICARE:  DR. RICHARD EVERS BRASHEAR
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
1207RP1001XPulmonary Disease Physician01020351IN

General Provider Information

NPI Number : 1730422163
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD EVERS BRASHEAR
Provider Business Mailing Address
First Line : 7914 BEAUMONT GREEN WEST DR
Second Line : NA
City : INDIANAPOLIS
State : IN
Zip : 46250-1651
Country : US
Telephone Number : 317-432-6161
Fax Number : 317-577-8840
Provider Business Practice Location Address
First Line : 7914 BEAUMONT GREEN WEST DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46250-1651
Country : US
Telephone Number : 317-432-6161
Fax Number : 317-577-8840
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2013
Last Update Date : 04/04/2013

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Directions to “ DR. RICHARD EVERS BRASHEAR ” Practice Location

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