Bracken, William Martin

Bracken, William Martin is an individual health care provider with primary practice located at 14365 Highway 16 W , De Kalb MS 39328-7974. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Bracken, William Martin can be contacted via phone (601) 743-4626.

Contact Information

Primary practice address
14365 Highway 16 W De Kalb MS 39328-7974
Phone: (601) 743-4626
Fax: (601) 743-2133
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 15288 Mississippi
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 15288 Mississippi

Profile Details

NPI number 1417969031
LBN Legal business name Bracken, William Martin
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Nov 9th, 2013 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1417969031 NPPES
Mississippi MEDICAID 00118406

Popular Providers