Bracken, Robert Bruce

Bracken, Robert Bruce is an individual health care provider with primary practice located at 222 Piedmont Ave Ste. 7000, Cincinnati OH 45219-4231. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Bracken, Robert Bruce can be contacted via phone (513) 475-8787.

Contact Information

Primary practice address
222 Piedmont Ave Ste. 7000 Cincinnati OH 45219-4231
Phone: (513) 475-8787
Fax: (513) 475-7239
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 35-046750 Ohio

Profile Details

NPI number 1386612398
LBN Legal business name Bracken, Robert Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Apr 17th, 2015 - about 9 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 1386612398 NPPES
Ohio MEDICAID 0505395
Ohio MEDICAID 64780364
Ohio MEDICAID 100328150

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