Mitchell Don Brimage Sr., PMHNP-BC
Nurse Practitioner, Psych/Mental Health in Avila Beach, CA. Individual provider (NPI-1).
NPI number1073671996
StatusActive
Last updated in NPPESJun 6, 2022
Details
- NPI
- 1073671996
- Entity type
- Individual (NPI-1)
- Name
- Mr. Mitchell Don Brimage Sr.
- Credential
- PMHNP-BC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 4, 2006
- Certification date
- May 27, 2022
- Last updated
- Jun 6, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 95019766 | CA | Yes |
Other names
- Mitchell Don Brimage (Other Name)
Practice location
661 Bay Laurel PlaceSuite 3b
Avila Beach, CA 93424
Phone 805-459-8232
Mailing address
1260 Ella St Unit 8San Luis Obispo, CA 93401-4147
Phone 805-441-3611
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