Samuel Brayfield
Family Doctor
5816 Osage Beach Pkwy Suite 108
Osage Beach
, Missouri 65065-3046
Samuel Brayfield
Family Doctor
5816 Osage Beach Pkwy Suite 108
Osage Beach
, Missouri 65065-3046
(573) 636-5881
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Samuel Brayfield
- Po Box 104240
- Jefferson City, MO
- Zip : 65110-4240
- Fax : (573) 636-5881
- Phone : (573) 635-5264
Second Address
- Samuel Brayfield
- 5816 Osage Beach Pkwy Suite 108
- Osage Beach, MO
- Zip : 65065-3046
- Fax : (573) 636-5881
- Phone : (573) 636-3313
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | R1E19 | MO |
National Provider Identifier
| NPI | 1003841214 |
|---|---|
| Provider Name | Samuel Brayfield |
| First Address | Jefferson City, MO 65110-4240 |
| Second Address | Osage Beach, MO 65065-3046 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/07/2006 |
| Last Update Date | 14/01/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 241989565 | (05) | MO |
| A10397 | (02) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.