Provider Demographics
NPI:1295534253
Name:ADAM W BRAZUS MD PC
Entity type:Organization
Organization Name:ADAM W BRAZUS MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:WILSON
Authorized Official - Last Name:BRAZUS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:317-872-1121
Mailing Address - Street 1:13250 HAZEL DELL PKWY STE 101
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46033-8527
Mailing Address - Country:US
Mailing Address - Phone:317-872-1121
Mailing Address - Fax:
Practice Address - Street 1:13250 HAZEL DELL PKWY STE 101
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46033-8527
Practice Address - Country:US
Practice Address - Phone:317-872-1121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-12
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0132XAmbulatory Health Care FacilitiesClinic/CenterOphthalmologic Surgery