Brackbill, Robert M

Brackbill, Robert M is an individual health care provider with primary practice located at 3200 Reading Crest Ave , Reading PA 19605-1656. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Brackbill, Robert M can be contacted via phone (610) 921-2366.

Contact Information

Primary practice address
3200 Reading Crest Ave Reading PA 19605-1656
Phone: (610) 921-2366
Fax: (610) 929-5138
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD025196E Pennsylvania
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X MD025196E Pennsylvania

Profile Details

NPI number 1861498636
LBN Legal business name Brackbill, Robert M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Mar 27th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861498636 NPPES
Pennsylvania MEDICAID 00873969
Pennsylvania Other 076663
Pennsylvania Other C29150

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