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
Fax: (817) 645-6966
Website:

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.

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Identifiers

StateTypeNumberIssuer
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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