JAY M BRASHEAR OTRL
NPI 1790994242
Specialist in Show Low, AZ

Active since May 22, 2007
2200 E SHOW LOW LAKE RD, SHOW LOW, AZ 85901(928) 537-4375 Get Directions Write a Review

NPPES record last updated: September 26, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jay M Brashear Otrl NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAY M BRASHEAR OTRL (NPI 1790994242) is an individual specialist in Show Low, Arizona, licensed in Arizona (2401) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1790994242
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameJAY M BRASHEARCredential: OTRL
Location Address2200 E SHOW LOW LAKE RDShow Low, AZ 85901-7831
Mailing Address4807 Deer VlyLakeside, AZ 85929-5200 · (480) 710-7487
Sole ProprietorNo
Enumeration DateMay 22, 2007
Last NPPES UpdateSeptember 26, 2012
✔ NPI 1790994242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AZ · 2401
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2200 E SHOW LOW LAKE RD, Show Low, AZ 85901

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jay M Brashear Otrl is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Jay Brashear reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Critical Access
1501 WILLIAMSON AVE
Winslow, AZ 86047
  • Reassigned Medicare billing, Arizona enrollment
  • 69 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
2200 E SHOW LOW LAKE RD
SHOW LOW, AZ 85901
Nurse Anesthetist, Certified Registered
2200 E SHOW LOW LAKE RD
SHOW LOW, AZ 85901
Pharmacist
2200 E SHOW LOW LAKE RD
SHOW LOW, AZ 85901
Pharmacist
2200 E SHOW LOW LAKE RD
SHOW LOW, AZ 85901
Nurse Practitioner (Acute Care)
2200 E SHOW LOW LAKE RD
SHOW LOW, AZ 85901
Occupational Therapist
2200 E SHOW LOW LAKE RD
SHOW LOW, AZ 85901
Pharmacist
2200 E SHOW LOW LAKE RD
SHOW LOW, AZ 85901
Nurse Anesthetist, Certified Registered
2200 E SHOW LOW LAKE RD
SHOW LOW, AZ 85901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jay Brashear's NPI number?

The NPI number for Jay Brashear is 1790994242. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Jay Brashear located?

Jay Brashear practices at 2200 E Show Low Lake Rd, Show Low, AZ 85901. The listed phone number is (928) 537-4375.

What is Jay Brashear's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Jay Brashear enrolled in Medicare?

Yes. Jay Brashear is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jay Brashear's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jay Brashear reassigns Medicare benefits to Winslow Memorial Hospital Inc (Winslow, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jay Brashear's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jay Brashear accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Jay Brashear as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jay Brashear was last updated on September 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.