# JAMES S. BRASHEAR MD, PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487973855
- **Authorized official:** DR. JAMES STANTON BRASHEAR M.D. (SOLE PROPRIETOR)
- **Authorized official phone:** (270) 754-3880

## Contact information

- **Practice address:** 411 S 2ND ST, CENTRAL CITY, KY 42330-1639
- **Practice address phone:** (270) 754-3880
- **Practice address fax:** (270) 754-3898
- **Mailing address:** 411 S 2ND ST, CENTRAL CITY, KY 42330-1639
- **Mailing address phone:** (270) 754-3880
- **Mailing address fax:** (270) 754-3898

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 13237 | KY | Yes |

## Other

- **Enumeration date:** 05/25/2010
- **Last updated:** 11/12/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000046014 | ANTHEM | KY |
| 01 | — | 163279300 | US DEPT OF LABOR | KY |
| 05 | — | 64132376 | — | KY |
| 01 | — | C69064 | UPIN | KY |