Provider Demographics
NPI:1881673713
Name:BRASHEAR, ALLISON (MD)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:BRASHEAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4610 X ST STE 3101
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-2200
Mailing Address - Country:US
Mailing Address - Phone:916-734-1322
Mailing Address - Fax:916-734-7055
Practice Address - Street 1:4610 X ST STE 3101
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2200
Practice Address - Country:US
Practice Address - Phone:916-734-1322
Practice Address - Fax:916-734-7055
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2019-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2005 019032084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810008124Medicaid
4201353OtherAETNA
VA1881673713Medicaid
185410OtherMEDCOST
SCQ01903Medicaid
141N5OtherBCBS
807186OtherPARTNERS
NC5902788Medicaid
141N5OtherBCBS
NC2050391Medicare PIN