Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JERRY W BRACKETT, M.D.
Active Sole ProprietorDR. JERRY W BRACKETT, M.D. is a General Practice healthcare provider located in BEREA, Kentucky. NPI 1033165394 is currently active in the NPPES registry. Verify at CMS.
General Practice · BEREA, KY
Registration Details
- NPI Number
- 1033165394
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 26, 2006 (20.196827438713 yrs)
- Last Updated
- Jun 15, 2009
- License
-
14390 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
607 CHESTNUT STBEREA, KY, 404031514Browse KY providers · Browse ZIP 40403
- Phone
- 8595829331
- Fax
- 6067895600
- Primary Specialty
-
General Practice
208D00000X
Other General Practice Providers in BEREA, KY
| Name | Credential | NPI |
|---|---|---|
| HANNAH CRAWFORD | APRN | 1346107398 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.