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NPI Code Detail

MEDICARE: DR. MICHAEL JORDAN BRASSELL DPM

MEDICARE:  DR. MICHAEL JORDAN BRASSELL  DPM
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
1213ES0131XFoot Surgery Podiatrist0103301346VA
2213ES0103XFoot & Ankle Surgery Podiatrist0103301346VA
3213E00000XPodiatrist0103301346VA
4213ES0000XSports Medicine Podiatrist0103301346VA

General Provider Information

NPI Number : 1932763927
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL JORDAN BRASSELL DPM
Provider Business Mailing Address
First Line : 730 THIMBLE SHOALS BLVD STE 130
Second Line :
City : NEWPORT NEWS
State : VA
Zip : 23606-4562
Country : US
Telephone Number : 757-873-1554
Fax Number :
Provider Business Practice Location Address
First Line : 730 THIMBLE SHOALS BLVD STE 130
Second Line :
City : NEWPORT NEWS
State : VA
Zip : 23606-4562
Country : US
Telephone Number : 757-873-1554
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2019
Last Update Date : 02/16/2026

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