Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Timothy Charles Brazeal, MS, ATC, PA
Physician Assistant in Lebanon, MO · enumerated 2010.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1083933485
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Registry record
Entity type Individual (Type 1)
Name Timothy Charles Brazeal
Credential MS, ATC, PA
Sex Male
Practice address 331 Hospital Dr, Suite D, Lebanon, MO, 65536
Phone (417) 533-6315
Fax (417) 533-6320
Enumeration date May 25, 2010
Last updated in NPPES Jul 23, 2024
Taxonomy & licenses
2255A2300X Athletic Trainer Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 200901846 (MO) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 2018004459 (MO) Primary
PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program.
About the PA credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 220051288 | Medicaid | MO | - |
| 1083933485 | Medicaid | MO | - |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Timothy Brazeal?
Timothy Brazeal is registered in NPPES with the primary taxonomy of Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Other providers at this practice address
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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-07-23.