Brandon S Brackeen in Cleburne - Orthopedic

Brandon S Brackeen - NPI 1801083613

Brandon S Brackeen is a Orthopedic in Cleburne, Texas. Brandon S Brackeen practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Brandon S Brackeen is 1801083613. The last update date is 2008-05-21.

Brandon S Brackeen's current location address is 1014 N Nolan River Rd, Cleburne, Texas. You can contact this provider via phone number 8176418617 and fax number 8176456966. The mailing address for Brandon S Brackeen is 1014 N Nolan River Rd, Cleburne, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Brandon S Brackeen
Address 1014 N Nolan River Rd, Cleburne, Texas
Phone Number 8176418617
Fax Number 8176456966
Sole Proprietor N
Credentials P.T., D.P.

NPI Number Detail

NPI Number 1801083613
Provider Enumeration Date 2007-09-26
Last Updated Date 2008-05-21

Provider Mailing Address Detail

Address 1014 N Nolan River Rd
City Cleburne
State Texas (TX)
Post Code 760337925
Phone Number 8176418617
Fax Number 8176456966

Provider's Primary Taxonomy Detail

Speciality Orthopedic
Taxonomy 2251X0800X
Licence No 1176972
Definition:
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8T8115 TX BLUE CROSS BLUE SHIELD OF TEXA
191399801 TX --
P00440642 TX RAILROAD MEDICARE PIN

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FAQs about Brandon S Brackeen

What is the unique 10-digit identifier code assigned to Brandon S Brackeen by the Centers for Medicare & Medicaid Services?

The Brandon S Brackeen has been issued the NPI (National Provider Identifier) 1801083613 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Brandon S Brackeen is geographically located?

The Brandon S Brackeen is physically situated at the following location: 1014 N Nolan River Rd, Cleburne, TX, 760337925.

What is the area of specialization for Brandon S Brackeen, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Brandon S Brackeen is Orthopedic, and the corresponding taxonomy code that categorizes this area of expertise is 2251X0800X.

On what date did the Brandon S Brackeen receive its 1801083613 assignment from the Centers for Medicare & Medicaid Services?

The Brandon S Brackeen was assigned its 1801083613 by the Centers for Medicare & Medicaid Services on 2007-09-26.

As of what date was the information pertaining to Brandon S Brackeen, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Brandon S Brackeen, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-05-21.

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