Provider Demographics
NPI:1447266614
Name:BRASHIER, CHARLES TREVOR (NP)
Entity type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:TREVOR
Last Name:BRASHIER
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 646
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:TN
Mailing Address - Zip Code:38425-0646
Mailing Address - Country:US
Mailing Address - Phone:931-676-3160
Mailing Address - Fax:931-676-3161
Practice Address - Street 1:133 MAIN STREET
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:TN
Practice Address - Zip Code:38425
Practice Address - Country:US
Practice Address - Phone:931-676-3160
Practice Address - Fax:931-676-3161
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2010-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7651363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
3901277Medicare ID - Type Unspecified
P30014Medicare UPIN