Michael Dale Brackenrich in Rich Creek - Family Medicine
Michael Dale Brackenrich - NPI 1972603744
Michael Dale Brackenrich is a Family Medicine in Rich Creek, Virginia. Michael Dale Brackenrich practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Michael Dale Brackenrich is 1972603744. The last update date is 2011-01-28.
Michael Dale Brackenrich's current location address is 363 Woodland St, Rich Creek, Virginia. You can contact this provider via phone number 5407262375 and fax number 5407263573. The mailing address for Michael Dale Brackenrich is 363 Woodland St, Rich Creek, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Dale Brackenrich |
|---|---|
| Address | 363 Woodland St, Rich Creek, Virginia |
| Phone Number | 5407262375 |
| Fax Number | 5407263573 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1972603744 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2011-01-28 |
Provider Mailing Address Detail
| Address | 363 Woodland St |
|---|---|
| City | Rich Creek |
| State | Virginia (VA) |
| Post Code | 24147 |
| Phone Number | 5407262375 |
| Fax Number | 5407263573 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 102036943 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5696208 | VA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Michael Dale Brackenrich by the Centers for Medicare & Medicaid Services?
The Michael Dale Brackenrich has been assigned the NPI (National Provider Identifier) 1972603744 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Michael Dale Brackenrich is physically located?
The Michael Dale Brackenrich is situated at the following address: 363 Woodland St, Rich Creek, VA 24147.
What is Michael Dale Brackenrich's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Michael Dale Brackenrich is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
When did Michael Dale Brackenrich receive its 1972603744 assignment?
The Michael Dale Brackenrich was assigned its 1972603744 on 2006-09-22, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Michael Dale Brackenrich last refreshed?
The information related to the Michael Dale Brackenrich, including its address, specialty, and other relevant details, was last updated on 2011-01-28.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH