BRUCE A BRASWELL (PA) – Medical Physician Assistant, NPI 1619066024
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,853 PHYSICIAN ASSISTANT in MO
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Provider Addresses for BRUCE A BRASWELL (PA)
Missouri Delta Medical Center, 1008, North Main Street, Sikeston, Scott County, Missouri, 63801, United States
SIKESTON, MO 638015044
Phone: (573) 472-6001
Fax: (573) 472-6006
Type: Location
Vandalia, Fayette County, Illinois, 62471, United States
VANDALIA, IL 624710065
Phone: (618) 367-1921
Fax: (618) 283-4081
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 90 Open Payments records for all available years, with a total value of $2,298.
Total Amount is formed as General ($2,298) + Research ($0) + Ownership ($0) = $2,298.
Last reported payment date: 2024-11-18 • Largest payer in this snapshot: ABBVIE INC. ($511).
Total Amount
$2,298
General + Research + Ownership
Payments
90
Total payment records
General Amount
$2,298
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $511 |
| Novo Nordisk Inc | $398 |
| Axsome Therapeutics, Inc. | $176 |
| AstraZeneca Pharmaceuticals LP | $171 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $157 |
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: 2014-05-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140524000010 | I | Physician Assistant | IL | TBD |
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.
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 63801)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Physical Therapist In Private Practice | IL | |
| Internal Medicine | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Family Practice | IL | |
| Infectious Disease | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL |
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