Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL DALE BRACKENRICH, D.O.
ActiveMICHAEL DALE BRACKENRICH, D.O. is a Family Medicine healthcare provider located in RICH CREEK, Virginia. NPI 1972603744 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · RICH CREEK, VA
Registration Details
- NPI Number
- 1972603744
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 22, 2006 (19.883491253972 yrs)
- Last Updated
- Jan 28, 2011
- License
-
0102036943 (VA)
Practice Information
- Address
-
363 WOODLAND STRICH CREEK, VA, 241470336Browse VA providers · Browse ZIP 24147
- Phone
- 5407262375
- Primary Specialty
-
Family Medicine
207Q00000X
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.