Individual
DR. MICHAEL JORDAN BRASSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
730 THIMBLE SHOALS BLVD STE 130, NEWPORT NEWS, VA 23606-4562
(757) 873-1554
Mailing address
730 THIMBLE SHOALS BLVD STE 130, NEWPORT NEWS, VA 23606-4562
(757) 873-1554
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
0103301346
VA
213ES0000X
Sports Medicine Podiatrist
0103301346
VA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103301346
VA
213ES0131X
Foot Surgery Podiatrist
0103301346
VA
Other
Enumeration date
04/25/2019
Last updated
02/16/2026
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