Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Timothy Charles Brazeal, MS, ATC, PA

Individual provider Athletic Trainer · NPI 1083933485

Timothy Charles Brazeal, MS, ATC, PA is a Physician Assistant in Lebanon, Missouri. Qualified in 2017, 9 years ago. Practices with Mercy Clinic Springfield Communities, a 1,126-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
9
Licensed in
MO
In the registry since
2010
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

331 Hospital Dr Ste D
Lebanon, MO 65536-9217
Phone: (417) 533-6315
Fax: (417) 533-6320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2018004459 (MO)
Athletic Trainer Taxonomy 2255A2300X · Licence 200901846 (MO)

Record details

NPI number1083933485
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , ATC , PA
Sole proprietorNo
NPI enumeratedMay 25, 2010
Last updated in NPPESJuly 23, 2024
Certification dateJuly 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Mercy Clinic Springfield Communities — 1126 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients69
Services billed 155 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Mercy Clinic Springfield Communities

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 1126 clinicians in the practice; 12 are shown here.

Other providers in Lebanon