Individual
DR. SUSAN L BRASHEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
21 E STATE ST STE 200, COLUMBUS, OH 43215-0109
(888) 731-8994
Mailing address
21 E STATE ST STE 200, COLUMBUS, OH 43215-0109
(888) 731-8994
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
42930
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09602721
—
CO
01
—
348308
MEDICARE GROUP NUMBER
CO
01
—
47688343
MEDICAID PRACTICE NUMBER
CO
01
—
76580237
MEDICAID GROUP NUMBER
CO
01
—
810212
MEDICARE GROUP PTAN
CO
01
—
C810212
MEDICARE GROUP NUMBER
CO
Enumeration date
09/22/2006
Last updated
11/04/2024
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