Provider Demographics
NPI:1588683262
Name:BRASFIELD, MILTON STANHOPE III (MD)
Entity Type:Individual
Prefix:DR
First Name:MILTON
Middle Name:STANHOPE
Last Name:BRASFIELD
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO DRAWER 1007
Mailing Address - Street 2:105 HWY 80 E SUITE 205
Mailing Address - City:DEMOPOLIS
Mailing Address - State:AL
Mailing Address - Zip Code:36732
Mailing Address - Country:US
Mailing Address - Phone:334-289-5770
Mailing Address - Fax:334-289-5758
Practice Address - Street 1:105 HWY 80 EAST
Practice Address - Street 2:SUITE 205
Practice Address - City:DEMOPOLIS
Practice Address - State:AL
Practice Address - Zip Code:36732
Practice Address - Country:US
Practice Address - Phone:334-289-5770
Practice Address - Fax:334-289-5758
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
AL34922080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL00671OtherBLUE CROSS
C76578Medicare UPIN