MEDICARE: JOYCE B BRASFIELD M.D.

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	207Q00000X	Family Medicine Physician	16170	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	010064074	OTHER	TN	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2577988	OTHER	TN	CIGNA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	3145823	OTHER	TN	BCBS TN
6	96961	OTHER	AR	BCBS AR
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922005941
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOYCE B BRASFIELD M.D.

Provider Business Mailing Address
First Line	:	PO BOX 1000
Second Line	:	DEPT 297
City	:	MEMPHIS
State	:	TN
Zip	:	38148-0001
Country	:	US
Telephone Number	:	901-620-6162
Fax Number	:	901-756-5564

Provider Business Practice Location Address
First Line	:	1325 EASTMORELAND AVE
Second Line	:	#150
City	:	MEMPHIS
State	:	TN
Zip	:	38104-3519
Country	:	US
Telephone Number	:	901-725-0648
Fax Number	:	901-725-1037

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

Provider Enumeration Date	:	07/05/2005
Last Update Date	:	09/28/2011

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