Basic Information
| Provider Information | |||||||||
| NPI: | 1730365305 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BRASHEAR | ||||||||
| FirstName: | CHAD | ||||||||
| MiddleName: | EDWARD | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3815 HIGHWAY 160 S | ||||||||
| Address2: | |||||||||
| City: | HINDMAN | ||||||||
| State: | KY | ||||||||
| PostalCode: | 418229064 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6064382589 | ||||||||
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| Practice Location | |||||||||
| Address1: | 200 MEDICAL CENTER DR | ||||||||
| Address2: | |||||||||
| City: | HAZARD | ||||||||
| State: | KY | ||||||||
| PostalCode: | 41701 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6064396782 | ||||||||
| FaxNumber: | 6064396879 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/14/2008 | ||||||||
| LastUpdateDate: | 05/21/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 5101017301 | MI | Y | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.