DEWEY JAY BRAZELTON – Certified Registered Nurse Anesthetist, NPI 1700621448

DEWEY JAY BRAZELTON is a healthcare provider. based in Owens cross roads, Alabama. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 1-157739 (AL). The NPI Number for DEWEY JAY BRAZELTON is 1700621448

Main info

Male
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
DEWEY JAY BRAZELTON
NPI
1700621448
Phone
(256) 572-5982
Address
2516 CALDWELL PARK CT SE
Enumeration Date
26 June 2024
Last Update Date
26 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2562658120
Graduation Year
2024 (2 years ago)
PAC ID
6901337682
Group Practice PAC ID
7315990751
Professional Enrollment ID
I20241004002774
Address ID
AL358014421HU101XXSWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

1,625 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in AL

Provider Addresses for DEWEY JAY BRAZELTON

  • 2516 CALDWELL PARK CT SE

    OWENS CROSS ROADS, AL 357630139

    Phone: (256) 572-5982

    Type: Mailing

  • 101 SIVLEY RD SW

    HUNTSVILLE, AL 358014421

    Phone: (256) 265-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241004002774ICertified Registered Nurse Anesthetist (Crna)ALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35763)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315990751View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)AL
-AL
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)AL

Reviews

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Frequently asked questions

What federal number belongs to DEWEY JAY BRAZELTON?
The federal identifier for DEWEY JAY BRAZELTON is NPI 1700621448.
Is DEWEY JAY BRAZELTON's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DEWEY JAY BRAZELTON?
The page reflects Certified Registered Nurse Anesthetist for DEWEY JAY BRAZELTON. Clinical services aligned with this taxonomy classification.
Where is DEWEY JAY BRAZELTON's primary listing?
We display Owens Cross Roads, Alabama because that is what the record indicates for DEWEY JAY BRAZELTON.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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