MEDICARE: ALLISON BRASHEAR MD

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
1	2084N0400X	Neurology Physician	2005 01903	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	4201353	OTHER	AETNA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	185410	OTHER	MEDCOST
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	141N5	OTHER	BCBS
7	807186	OTHER	PARTNERS
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881673713
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON BRASHEAR MD

Provider Business Mailing Address
First Line	:	4610 X ST STE 3101
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95817-2200
Country	:	US
Telephone Number	:	916-734-1322
Fax Number	:	916-734-7055

Provider Business Practice Location Address
First Line	:	4610 X ST STE 3101
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95817-2200
Country	:	US
Telephone Number	:	916-734-1322
Fax Number	:	916-734-7055

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2006
Last Update Date	:	12/06/2019

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Directions to “ ALLISON BRASHEAR MD” Practice Location

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