Individual
DR. BRENDA L RASBERRY - CASSELBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
2121 EXECUTIVE PARK DRIVE, OPELIKA, AL 36801
(334) 705-0544
(334) 705-0548
Mailing address
P O BOX 1268, AUBURN, AL 36831
(334) 705-0544
(334) 705-0548
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
132
AL
213ES0131X
Foot Surgery Podiatrist
132
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480013769
MEDICARE RAILROAD
AL
01
—
5043300001
PALMETTO DMERC PROVIDER
AL
01
—
51540360
BCBS - TUSKEGEE
AL
01
—
51540725
BCBS - OPELIKA
AL
05
—
529912550
—
AL
01
—
CM3112
MEDICARE R/R PIN
AL
Enumeration date
09/07/2006
Last updated
11/11/2016
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