Provider Demographics
NPI:1720177819
Name:BRASHEARS, JAMES H (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:H
Last Name:BRASHEARS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:540 26TH AVE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-6122
Mailing Address - Country:US
Mailing Address - Phone:941-726-4991
Mailing Address - Fax:425-690-9076
Practice Address - Street 1:540 26TH AVE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-6122
Practice Address - Country:US
Practice Address - Phone:941-726-4991
Practice Address - Fax:425-690-9076
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLL279352085R0001X
WAMD602178302085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2015829Medicaid
WAG8902815Medicare PIN