Organization
BRAZELL H CARTER MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAZELL H CARTER MD (PHYSICIAN)
(510) 236-8484
Entity
Organization
Contact information
Practice address
2600 MACDONALD AVE, RICHMOND, CA 94804-1826
(510) 236-8487
(510) 235-8650
Mailing address
2600 MACDONALD AVE, RICHMOND, CA 94804-1826
(510) 236-8484
(510) 235-8650
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A30396
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A303960
—
CA
01
—
757111935
RAILROAD MEDICARE
CA
01
—
DN5243
RAILROAD MEDICARE
CA
Enumeration date
10/19/2006
Last updated
10/24/2008
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