Brackeen, Brandon S
Brackeen, Brandon S is an individual health care provider with primary practice located at 1014 N Nolan River Rd , Cleburne TX 76033-7925. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Brackeen, Brandon S can be contacted via phone (817) 641-8617.Contact Information
Primary practice address
1014 N Nolan River Rd
Cleburne TX 76033-7925
Phone: (817) 641-8617
Fax: (817) 645-6966
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1176972 | Texas |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports | 2251S0007X | 1176972 | Texas |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 1176972 | Texas |
Profile Details
NPI number | 1801083613 |
---|---|
LBN Legal business name | Brackeen, Brandon S |
Credentials | P.T., D.P.T. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 26th, 2007 |
Last updated | May 21st, 2008 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1801083613 | NPPES |
Texas | Other | 8T8115 | BLUE CROSS BLUE SHIELD OF TEXAS |
Texas | MEDICAID | 191399801 | BLUE CROSS BLUE SHIELD OF TEXAS |
Texas | Other | P00440642 | BLUE CROSS BLUE SHIELD OF TEXAS |
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