Provider Demographics
NPI:1184715047
Name:BRACHMAN, SHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:SHAEL
Middle Name:
Last Name:BRACHMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:75 FRANCIS ST
Mailing Address - Street 2:PBB-B 428
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-6110
Mailing Address - Country:US
Mailing Address - Phone:617-525-8281
Mailing Address - Fax:617-278-6906
Practice Address - Street 1:75 FRANCIS ST
Practice Address - Street 2:PBB-B 428
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6110
Practice Address - Country:US
Practice Address - Phone:617-525-8281
Practice Address - Fax:617-278-6906
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.087514207R00000X
MA242207208M00000X, 207R00000X
FLME85087207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2683538Medicaid
OH2683538Medicaid
OHH66792Medicare UPIN