Roberta Samelson Bracken in Bolivia - Endocrinology, Diabetes & Metabolism
Roberta Samelson Bracken - NPI 1770557753
Roberta Samelson Bracken is a Endocrinology, Diabetes & Metabolism in Bolivia, North Carolina. Roberta Samelson Bracken practices all healthcare services and medical treatments related to Endocrinology, Diabetes & Metabolism. The NPI Number for Roberta Samelson Bracken is 1770557753. The last update date is 2022-05-18.
Roberta Samelson Bracken's current location address is 25 Courthouse Drive Ne, Bolivia, North Carolina. You can contact this provider via phone number 9102532250 and fax number 9102532370. The mailing address for Roberta Samelson Bracken is 25 Courthouse Drive Ne, Bolivia, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roberta Samelson Bracken |
|---|---|
| Address | 25 Courthouse Drive Ne, Bolivia, North Carolina |
| Phone Number | 9102532250 |
| Fax Number | 9102532370 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1770557753 |
|---|---|
| Provider Enumeration Date | 2006-02-15 |
| Last Updated Date | 2022-05-18 |
Provider Mailing Address Detail
| Address | 25 Courthouse Drive Ne |
|---|---|
| City | Bolivia |
| State | North Carolina (NC) |
| Post Code | 28422 |
| Phone Number | 9102532250 |
| Fax Number | 9102532370 |
Provider's Primary Taxonomy Detail
| Speciality | Endocrinology, Diabetes & Metabolism |
|---|---|
| Taxonomy | 207Re0101X |
| Licence No | 35280 |
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Definition: An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and men |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8917621 | NC | -- | |
| 1770557753 | NC | -- |
Post Comment/ Review Below
What is the Roberta Samelson Bracken's 1770557753?
The Roberta Samelson Bracken's NPI (National Provider Identifier) Number is 1770557753. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Roberta Samelson Bracken's physical address?
The Roberta Samelson Bracken is physically located at 25 Courthouse Drive Ne, in the city of Bolivia, NC, with the postal code 28422.
What is the Roberta Samelson Bracken's specialty and taxonomy code?
The Roberta Samelson Bracken's specialty is Endocrinology, Diabetes & Metabolism, and the corresponding taxonomy code is 207Re0101X.
On what date was the 1770557753 assigned to Roberta Samelson Bracken?
The Roberta Samelson Bracken was issued its 1770557753 on 2006-02-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Roberta Samelson Bracken most recently updated?
The details pertaining to the Roberta Samelson Bracken, including its address, specialty, and other relevant information, were last refreshed on 2022-05-18.